Active NPI
Leah Bowers, D.M.D.
- Student in an Organized Health Care Education/Training Program
- Jackson, MS
National Provider Identifier
1366699605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 5927
- Practice address
- 731 N Jefferson St
Apt. F12
Jackson, MS 39202-3129 - Phone
- (601) 750-0690
- NPI assigned
- Aug 19, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5927 | ZZ | Primary |
Addresses
Primary practice location
731 N Jefferson St
Apt. F12
Jackson, MS 39202-3129
Mailing address
731 North Jefferson Street
Apt. F12
Jackson, MS 39202
Phone (601) 750-0690
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5927 | ZZ | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1366699605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 NORTH JEFFERSON STREET",
"address_2": "APT. F12",
"city": "JACKSON",
"state": "MS",
"postal_code": "39202",
"telephone_number": "601-750-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 N JEFFERSON ST",
"address_2": "APT. F12",
"city": "JACKSON",
"state": "MS",
"postal_code": "392023129",
"telephone_number": "601-750-0690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "LEAH",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "ZZ",
"license": "5927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.