Individual provider Active NPI

Linda Sue Bowman, D.D.S.

  • Dentist
  • Falconer, NY
National Provider Identifier
1104047661
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
042122-1 Issued in NY
Practice address
230 E Main St
Falconer, NY 14733-1318
Phone
(716) 665-9484
NPI assigned
May 1, 2007
Last updated
Feb 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 042122-1 NY Primary

Addresses

Primary practice location

230 E Main St
Falconer, NY 14733-1318

Mailing address

230 E Main St
Falconer, NY 14733-1318
Phone (716) 665-9484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219002387 NY Practitioner - Dentist 1951621903 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042122-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Inclusion Inc CurrentSince Oct 17, 2024 Accepting new patients
Southern Tier Family Dentistry, PC Past Accepting new patients
Chautauqua County Chapter of Nysarc Inc Past Accepting new patients

Locations

200 Dunham Ave
Jamestown, NY 14701
Phone (716) 661-1400

890 E 2nd St
Jamestown, NY 14701
Phone (716) 661-1447

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1104047661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E MAIN ST",
            "city": "FALCONER",
            "state": "NY",
            "postal_code": "147331318",
            "telephone_number": "716-665-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E MAIN ST",
            "city": "FALCONER",
            "state": "NY",
            "postal_code": "147331318",
            "telephone_number": "716-665-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "LINDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "042122-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falconer, NY

Sources for this page

Verify at the official NPI Registry.