NPIMap

Organization Active NPI

Kyle Bowen PC

  • General Practice Dentistry
  • Orem, UT
National Provider Identifier
1457045692
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KYLE BOWEN PC
Practice address
860 N 980 W
Orem, UT 84057
Phone
(801) 224-6051
NPI assigned
Jun 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Kyle Douglas BowenNPI 1346629300
Title
Owner/Dentist
Phone
(801) 224-6051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

860 N 980 W
Orem, UT 84057

Mailing address

860 N 980 W
Orem, UT 84057

National Provider Directory

National Provider Directory

Locations

860 N 980 W
Orem, UT 84057
Phone (801) 224-6051

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1457045692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 N 980 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 N 980 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84057",
            "telephone_number": "801-224-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE BOWEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "801-224-6051"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.