Steven Douglas Fowle, D.D.S., INC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

24777 Issued in CA

Practice address

27800 Medical Center Rd.
Suite 155
Mission Viejo,, CA 92691-6442

Phone

(949) 364-0590

Fax

(949) 364-0739

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fowle & Fagin Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mission Viejo, CA
  • NPI 1598800864
  NPD (past) Authorized official
• Mark Fagin, D.D.S., M.S., Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mission Viejo, CA
  • NPI 1508870866
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083759369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD.",
            "address_2": "SUITE 155",
            "city": "MISSION VIEJO,",
            "state": "CA",
            "postal_code": "926916442",
            "telephone_number": "949-364-0590",
            "fax_number": "949-364-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD.",
            "address_2": "SUITE 155",
            "city": "MISSION VIEJO,",
            "state": "CA",
            "postal_code": "926916442",
            "telephone_number": "949-364-0590",
            "fax_number": "949-364-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLE",
        "first_name": "STEVEN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S., INC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "24777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foudy Chiropractic Inc
• Michael Sean Foudy, D.C.
• Foundational Roots Family Therapy Inc
• Four Forty-Nine, Inc.
• Fowle & Fagin Orthodontics
• Marcy Fox, M.A., CCC-SLP
• Aaron Fraley, DDS
• Barbara Joanne Francis, PSY.D.
• Judith Sara Franco
• Melanie-Phoebe Franco, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Mission Viejo,, CA
• Providers in Mission Viejo,, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.