Organization Active NPI

Douglas R Bowman DDS LLC

  • General Practice Dentistry
  • Fremont, OH
National Provider Identifier
1326208612
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15560 Issued in OH
Legal business name
DOUGLAS R BOWMAN DDS LLC
Practice address
1229 Napoleon St
Fremont, OH 43420-2358
Phone
(419) 332-1303
Fax
(419) 332-0805
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Douglas Robert Bowman, DDS MS
Title
Owner
Phone
(419) 332-1303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15560 OH Primary

Addresses

Primary practice location

1229 Napoleon St
Fremont, OH 43420-2358

Mailing address

1229 Napoleon St
Fremont, OH 43420-2358
Phone (419) 332-1303

Other identifiers 1

IdentifierTypeStateIssuer
035182MedicaidOH

National Provider Directory

National Provider Directory

Locations

1229 Napoleon St
Fremont, OH 43420
Phone (419) 332-1303

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": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1326208612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 NAPOLEON ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202358",
            "telephone_number": "419-332-1303",
            "fax_number": "419-332-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 NAPOLEON ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202358",
            "telephone_number": "419-332-1303",
            "fax_number": "419-332-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS R BOWMAN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-332-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.