Michael David Fow, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D008468 Issued in AZ

Practice address

5533 E Bell Rd Ste 117
Scottsdale, AZ 85254-1256

Phone

(602) 867-2712

Fax

(602) 867-1082

NPI assigned

Jun 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1174887061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 E BELL RD STE 117",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541256",
            "telephone_number": "602-867-2712",
            "fax_number": "602-867-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 E BELL RD STE 117",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541256",
            "telephone_number": "602-867-2712",
            "fax_number": "602-867-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOW",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia J Fountis, D.O.
• Four Peaks Counseling Services, PLC
• Four Peaks Family Dentistry
• Four Peaks Neurology, P.C.
• Brian David Fow, D.D.S.
• Christopher William Fowler, D.D.S.
• Kristina M Fowler, COTA/L
• Elizabeth Fox-Short, RN
• Heather Fox, PA
• Jacqueline Lisa Fox, OTR

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.