Jerry William Sowers Jr., D.M.D. PA

Primary specialty

DentistTaxonomy code 122300000X

License

7179 Issued in NC

Practice address

430 W 20TH St
Newton, NC 28658-3732

Phone

(828) 464-6464

Fax

(828) 464-6406

NPI assigned

Oct 10, 2007

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

Medicare fee-for-service enrollment

Enrolled in NC

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

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1346438728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W 20TH ST",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286583732",
            "telephone_number": "828-464-6464",
            "fax_number": "828-464-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W 20TH ST",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286583732",
            "telephone_number": "828-464-6464",
            "fax_number": "828-464-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWERS",
        "first_name": "JERRY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D. PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shook Family Chiropractic, Inc.
• Eric Scott Shook, D.C.
• Allison Smith, ATC
• Sara Layne Smith, LCSW
• Tanya Simpkins Smith, AGNP
• Specialty Transportation Systems, Inc.
• Carley Spencer, OT
• Cheryl Anne Stacy, NP-C
• Startown Elementary
• Allison Long Steele, FNP

• Dentist in Newton, NC
• Providers in Newton, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.