Active NPI
Jonathon Smythe Bowden, D.M.D.
- General Practice Dentistry
- Flemington, NJ
National Provider Identifier
1184826760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02097700
- Practice address
- 4 Walter E Foran Blvd
Suite 305
Flemington, NJ 08822-4664 - Phone
- (908) 782-5076
- Fax
- (908) 782-3275
- NPI assigned
- Jun 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02097700 | NJ | Primary |
Addresses
Primary practice location
4 Walter E Foran Blvd
Suite 305
Flemington, NJ 08822-4664
Mailing address
39 Eglantine Ave
Pennington, NJ 08534-2309
Phone (609) 730-9754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02097700 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184826760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 EGLANTINE AVE",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085342309",
"telephone_number": "609-730-9754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 WALTER E FORAN BLVD",
"address_2": "SUITE 305",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "088224664",
"telephone_number": "908-782-5076",
"fax_number": "908-782-3275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWDEN",
"first_name": "JONATHON",
"middle_name": "SMYTHE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02097700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flemington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.