NPIMap

Organization Active NPI

Fowler Family Dentistry, Inc.

  • General Practice Dentistry
  • Fowler, IN
National Provider Identifier
1134418346
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FOWLER FAMILY DENTISTRY, INC.
Practice address
809 N Washington Ave
Fowler, IN 47944-1192
Phone
(765) 884-0740
Fax
(765) 884-9046
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dr. Heath W Jones, DDS
Title
Dentist/Owner
Phone
(765) 884-0740

Specialties & licenses 1

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

Addresses

Primary practice location

809 N Washington Ave
Fowler, IN 47944-1192

Mailing address

809 N Washington Ave
Fowler, IN 47944-1192
Phone (765) 884-0740

National Provider Directory

National Provider Directory

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": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1134418346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N WASHINGTON AVE",
            "city": "FOWLER",
            "state": "IN",
            "postal_code": "479441192",
            "telephone_number": "765-884-0740",
            "fax_number": "765-884-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N WASHINGTON AVE",
            "city": "FOWLER",
            "state": "IN",
            "postal_code": "479441192",
            "telephone_number": "765-884-0740",
            "fax_number": "765-884-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLER FAMILY DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HEATH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "765-884-0740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fowler, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.