Individual provider Active NPI

Lana Leigh Bowdoin, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Madison, AL
National Provider Identifier
1316142680
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5523 Issued in AL
Practice address
540 Hughes Rd
Suite 4
Madison, AL 35758-8999
Phone
(205) 999-6274
NPI assigned
Jun 18, 2007
Last updated
Jun 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 5523 AL Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8516 KY

Addresses

Primary practice location

540 Hughes Rd
Suite 4
Madison, AL 35758-8999

Mailing address

540 Hughes Rd
Suite 4
Madison, AL 35758-8999
Phone (205) 999-6274

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

LicenseStateTypeSpecialty
5523ALMDOrthodontics and Dentofacial Orthopedic Dentist
8516KYMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1316142680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 HUGHES RD",
            "address_2": "SUITE 4",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588999",
            "telephone_number": "205-999-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HUGHES RD",
            "address_2": "SUITE 4",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588999",
            "telephone_number": "205-999-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDOIN",
        "first_name": "LANA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "5523",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "8516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.