Individual provider Active NPI

Chris J Bowman, D.M.D.

  • Endodontics
  • Salem, OR
National Provider Identifier
1457369969
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D7105 Issued in OR
Practice address
830 Liberty St NE
Salem, OR 97301-2450
Phone
(503) 585-3636
Fax
(503) 362-0377
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D7105 OR Primary

Addresses

Primary practice location

830 Liberty St NE
Salem, OR 97301-2450

Mailing address

830 Liberty St NE
Salem, OR 97301-2450
Phone (503) 585-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20110727000762 OR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3072781533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
William J. Girsch, DDS Endodontics Past Accepting new patients
Chris J. Bowman, D.M.D., L.L.C. Endodontics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1457369969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 LIBERTY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012450",
            "telephone_number": "503-585-3636",
            "fax_number": "503-362-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 LIBERTY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012450",
            "telephone_number": "503-585-3636",
            "fax_number": "503-362-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "CHRIS",
        "middle_name": "J",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D7105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.