Organization Active NPI

Bowman Family Dentistry PLLC

  • Customized Equipment (DME)
  • Waynesboro, VA
National Provider Identifier
1104547363
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
BOWMAN FAMILY DENTISTRY PLLC
Practice address
2542 Jefferson Hwy Ste 104
Waynesboro, VA 22980-8502
Phone
(540) 943-8545
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Rebecca H Shin, DMD
Title
Owner
Phone
(540) 943-8545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2542 Jefferson Hwy Ste 104
Waynesboro, VA 22980-8502

Mailing address

2542 Jefferson Hwy Ste 104
Waynesboro, VA 22980-8502
Phone (540) 943-8545

National Provider Directory

National Provider Directory

Locations

2542 Jefferson Hwy
Ste 104
Waynesboro, VA 22980
Phone (540) 943-8545

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1104547363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 JEFFERSON HWY STE 104",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229808502",
            "telephone_number": "540-943-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 JEFFERSON HWY STE 104",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229808502",
            "telephone_number": "540-943-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWMAN FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-943-8545",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.