Benjamin James Bowman

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6076 Issued in OK

Practice address

100 Starlite Dr
Kingfisher, OK 73750-4944

Phone

(405) 375-5855

NPI assigned

Jun 21, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kingfisher Dental PLLC

  • General Practice Dentistry
  • Kingfisher, OK
  • NPI 1982967618
  NPD (past) Authorized official
• Kingfisher Dental PLLC

  dba Kingfisher Dentistry and Braces

  • General Practice Dentistry
  • Kingfisher, OK
  • NPI 1992849996
  Authorized official Same address or phone
• Lone Grove Dentistry & Braces

  • Dental Clinic/Center
  • Lone Grove, OK
  • NPI 1063051795
  Authorized official Same address or phone
• Enhance Dental- Millcreek, LLC

  dba Creek Dental Group- Millcreek

  • Dental Clinic/Center
  • Midvale, UT
  • NPI 1215505201
  Authorized official Same address or phone

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205032935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 FRONTAGE RD",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737504810",
            "telephone_number": "405-375-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STARLITE DR",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737504944",
            "telephone_number": "405-375-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5417 Pinnacle Point Dr",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588119",
            "country_code": "US",
            "telephone_number": "479-254-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "BENJAMIN",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3614",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Elizabeth Banther, RN, IBCLC
• Christopher Lee Barnett, D.D.S.
• Maesyn Alyxandria Barton, COTA
• Samantha Ashlynn Bates
• Mary Frances Bonilla
• Nathan Kelly Brown, DDS
• Kandice Burk, APRN, FNP-C
• Melody C Byrd, RRT
• Kristyn Cagle, M.ED.
• Cardiac and Pulmonary Rehabilitation Clinic LLC

• General Practice Dentistry in Kingfisher, OK
• Providers in Kingfisher, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.