Individual provider Active NPI

Michael Dale Bowen, DDS

  • Dentist
  • Sanford, MI
National Provider Identifier
1356306641
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901012107 Issued in MI
Practice address
292 E Saginaw Rd
Sanford, MI 48657
Phone
(989) 687-7378
Fax
(989) 687-9449
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901012107 MI Primary

Addresses

Primary practice location

292 E Saginaw Rd
Sanford, MI 48657

Mailing address

292 E Saginaw Rd
Sanford, MI 48657
Phone (989) 687-7378

Other identifiers 1

IdentifierTypeStateIssuer
1874503MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20150413000872 MI Order and Referring Only - DentistPractitioner - Dentist 3870811326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901012107MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D Bowen DDS PC Past Accepting new patients
Christina Behring, DDS, PLLC PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356306641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 E SAGINAW RD",
            "city": "SANFORD",
            "state": "MI",
            "postal_code": "48657",
            "telephone_number": "989-687-7378",
            "fax_number": "989-687-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 E SAGINAW RD",
            "city": "SANFORD",
            "state": "MI",
            "postal_code": "48657",
            "telephone_number": "989-687-7378",
            "fax_number": "989-687-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "MICHAEL",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901012107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1874503",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, MI

Sources for this page

Verify at the official NPI Registry.