NPIMap

Organization Active NPI

Mary Beth Bowman DMD

  • General Practice Dentistry
  • Woodburn, OR
National Provider Identifier
1114293156
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7618 Issued in OR
Legal business name
MARY BETH BOWMAN DMD
Practice address
1393 Meridian Dr Ste 1
Woodburn, OR 97071-8799
Phone
(503) 981-1360
NPI assigned
Mar 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Todd Bowman
Title
Office Manager
Phone
(503) 981-1360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D7618 OR Primary

Addresses

Primary practice location

1393 Meridian Dr Ste 1
Woodburn, OR 97071-8799

Mailing address

1393 Meridian Dr Ste 1
Woodburn, OR 97071-8799
Phone (503) 981-1360

Other names 1

  • Bowman Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1393 Meridian Dr
Ste 1
Woodburn, OR 97071
Phone (503) 981-1360

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1114293156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 MERIDIAN DR STE 1",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970718799",
            "telephone_number": "503-981-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 MERIDIAN DR STE 1",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970718799",
            "telephone_number": "503-981-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BETH BOWMAN DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-981-1360"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowman Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.