Nicholas Eugene Bowman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8527 Issued in TN

Practice address

11246 Dayton Pike
Soddy Daisy, TN 37379-6304

Phone

(423) 332-0500

Fax

(423) 332-0920

NPI assigned

Aug 22, 2006

Last updated

May 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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 TN

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

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.

• Southeastern Dental Associates of Soddy Daisy

  • General Practice Dentistry
  • Soddy Daisy, TN
  • NPI 1790821148
  NPD (past) Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1265548952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11246 DAYTON PIKE",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373796304",
            "telephone_number": "423-332-0500",
            "fax_number": "423-332-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11246 DAYTON PIKE",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373796304",
            "telephone_number": "423-332-0500",
            "fax_number": "423-332-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "NICHOLAS",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back2Health Chiropractic TN LLC (Total Health Chiropractic)
• Nancy Chiles Beckham, R.N.
• Ryan Matthew Bellomy, AGACNP, FNP
• Benchmark Healthcare Services LLC
• John D Bonner, M.D.
• Boyd Intellectual Properties
• Jonnie Lucy E. Boyd, RN, BSN
• Bradley a. Shaffer, O.D., P.C. (Eyes on Soddy)
• Julia Williams Briggs, D.D.S.
• Terri Lee Brothers, CRNA

• General Practice Dentistry in Soddy Daisy, TN
• Providers in Soddy Daisy, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; 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.