NPIMap

Organization Active NPI

Dr. Josh Fowler, DMD, PC

  • General Practice Dentistry
  • Riverton, WY
National Provider Identifier
1174782486
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1172 Issued in WY
Legal business name
DR. JOSH FOWLER, DMD, PC
Practice address
621 N 8TH St W
Riverton, WY 82501-3318
Phone
(307) 856-9725
Fax
(307) 856-7075
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Joshua Preston Fowler, D.M.D.NPI 1689868705
Title
Dentist
Phone
(307) 856-9725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1172 WY Primary

Addresses

Primary practice location

621 N 8TH St W
Riverton, WY 82501-3318

Mailing address

621 N 8TH St W
Riverton, WY 82501-3318
Phone (307) 856-9725

Other identifiers 1

IdentifierTypeStateIssuer
125886900MedicaidWY

National Provider Directory

National Provider Directory
Tax ID family
Benchmark Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

621 N 8th St W
Riverton, WY 82501
Phone (307) 856-9725

Practitioners & affiliated clinicians

Practitioners 4

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": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1174782486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N 8TH ST W",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013318",
            "telephone_number": "307-856-9725",
            "fax_number": "307-856-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N 8TH ST W",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013318",
            "telephone_number": "307-856-9725",
            "fax_number": "307-856-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOSH FOWLER, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "PRESTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "307-856-9725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125886900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.