Active NPI
J Patrick Bowman DMD PLLC
- Pediatric Dentistry
- Denver, CO
National Provider Identifier
1174163711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900164845 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- Westminster, CO
- NPI 1649591272
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": []
}
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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.