Active NPI
Kathryn Rene Bowman, DMD
- General Practice Dentistry
- Woodburn, OR
National Provider Identifier
1366534596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D8171
- Practice address
- 1393 Meridian Dr
Suite #1
Woodburn, OR 97071-8799 - Phone
- (503) 981-1360
- Fax
- (503) 982-3528
- NPI assigned
- Sep 28, 2006
- Last updated
- Jan 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D8171 | OR | Primary |
Addresses
Primary practice location
1393 Meridian Dr
Suite #1
Woodburn, OR 97071-8799
Mailing address
8234 SW 10TH Ave
Portland, OR 97219
Phone (503) 332-8460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8171 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Beth Bowman DMD | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bowman Family Dental
- General Practice Dentistry
- Woodburn, OR
- NPI 1114293156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1366534596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8234 SW 10TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97219",
"telephone_number": "503-332-8460",
"fax_number": "503-977-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1393 MERIDIAN DR",
"address_2": "SUITE #1",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970718799",
"telephone_number": "503-981-1360",
"fax_number": "503-982-3528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "KATHRYN",
"middle_name": "RENE",
"name_prefix": "Mrs.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D8171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodburn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.