Organization Active NPI

Bowles Orthodontic Specialists PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Knoxville, TN
National Provider Identifier
1245335124
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1763 Issued in TN
Legal business name
BOWLES ORTHODONTIC SPECIALISTS PA
Practice address
309 Concord St # C
Knoxville, TN 37919-3304
Phone
(865) 546-0792
Fax
(865) 546-0877
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Richard M. Bowles, DDS MSNPI 1295830198
Title
President
Phone
(865) 546-0792

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 1763 TN Primary

Addresses

Primary practice location

309 Concord St # C
Knoxville, TN 37919-3304

Mailing address

309 Concord St # C
Knoxville, TN 37919-3304
Phone (865) 546-0792

National Provider Directory

National Provider Directory

Locations

309 Concord St
#C
Knoxville, TN 37919
Phone (865) 546-0792

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1245335124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 CONCORD ST # C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193304",
            "telephone_number": "865-546-0792",
            "fax_number": "865-546-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 CONCORD ST # C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193304",
            "telephone_number": "865-546-0792",
            "fax_number": "865-546-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLES ORTHODONTIC SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-546-0792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "1763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.