Joseph Hampton Bowers, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

1496 Issued in NM

Practice address

4550 Eubank Blvd NE
Suite 207
Albuquerque, NM 87111-3479

Phone

(505) 291-9500

Fax

(505) 299-8390

NPI assigned

May 27, 2008

Reactivated

Feb 3, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Redemption

  • Periodontics
  • Albuquerque, NM
  • NPI 1124287206
  NPD (past) Authorized official

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1346408358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 EUBANK BLVD NE",
            "address_2": "SUITE 207",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113479",
            "telephone_number": "505-291-9500",
            "fax_number": "505-299-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 EUBANK BLVD NE",
            "address_2": "SUITE 207",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113479",
            "telephone_number": "505-291-9500",
            "fax_number": "505-299-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "JOSEPH",
        "middle_name": "HAMPTON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2015-02-03",
        "deactivation_date": "2008-07-17",
        "reactivation_date": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NM",
            "license": "1496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX  ID# 26-0149022",
            "identifier": "26-0149022",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Forrest Bowers
• Christian Andrew Bowers, M.D.
• David Bowers, PTA
• E Diane Bowers, MD
• Jonathan Bowers, DMD
• Kimberly A Bowers
• Nadine Bowers, CNNP
• Shawndell Bowers
• Stacy E Bowers, LCSW
• Dana Bowersock, SLP

• Periodontics in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Periodontics in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.