Individual provider Active NPI

Soledad C Bowers, DDS

  • General Practice Dentistry
  • Highlands Ranch, CO
National Provider Identifier
1356434377
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6811 Issued in CO
Practice address
9362 S Colorado Blvd
Suite D14
Highlands Ranch, CO 80126
Phone
(720) 348-1772
Fax
(720) 344-8465
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6811 CO Primary

Addresses

Primary practice location

9362 S Colorado Blvd
Suite D14
Highlands Ranch, CO 80126

Mailing address

9362 S Colorado Blvd
Suite D14
Highlands Ranch, CO 80126
Phone (720) 348-1772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160602001717 CO Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1759671704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6811COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356434377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9362 S COLORADO BLVD",
            "address_2": "SUITE D14",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80126",
            "telephone_number": "720-348-1772",
            "fax_number": "720-344-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9362 S COLORADO BLVD",
            "address_2": "SUITE D14",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80126",
            "telephone_number": "720-348-1772",
            "fax_number": "720-344-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "SOLEDAD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.