Organization Active NPI

J Patrick Bowman DMD PLLC

  • Pediatric Dentistry
  • Denver, CO
National Provider Identifier
1174163711
Registry record updated Jan 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
J PATRICK BOWMAN DMD PLLC
Practice address
1280 S Pearl St
Denver, CO 80210-1538
Phone
(720) 647-6310
NPI assigned
Jan 12, 2020
Last updated
Jan 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2020

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

Authorized official

Name
J Patrick Bowman, DMD
Title
Owner
Phone
(617) 869-9825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

1280 S Pearl St
Denver, CO 80210-1538

Mailing address

644 N Gilpin St
Denver, CO 80218-3632
Phone (617) 869-9825

Other identifiers 1

IdentifierTypeStateIssuer
900164845MedicaidCO

National Provider Directory

National Provider Directory

Locations

1280 S Pearl St
Denver, CO 80210
Phone (720) 647-6310

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578787200000",
    "number": "1174163711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 N GILPIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183632",
            "telephone_number": "617-869-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S PEARL ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101538",
            "telephone_number": "720-647-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J PATRICK BOWMAN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-12",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "J PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-869-9825",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900164845",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2020; 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.