Roy Dale Bower, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

2716 Corner CT
Alton, IL 62002-5328

Phone

(618) 465-6268

Fax

(618) 465-4814

NPI assigned

Feb 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427185503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 MARC DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024268",
            "telephone_number": "618-467-2717",
            "fax_number": "618-465-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 CORNER CT",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025328",
            "telephone_number": "618-465-6268",
            "fax_number": "618-465-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "ROY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004395",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsy Boeser
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• Leanne Marie Bonnell, D.P.T.
• Tameco Booth
• Dana Bourland, BA
• Kevin D Boyd, D.O.
• Tobin T Boyd, DMD
• Leesa Boyer
• Brad McMillin, Inc. (Beltone Hearing Aid Service)
• Bradley W Roberts DMD PC

• General Practice Dentistry in Alton, IL
• Providers in Alton, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.