Active NPI
Jonathan Bowers, DMD
- General Practice Dentistry
- Albuquerque, NM
National Provider Identifier
1467607382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DD3421
- Practice address
- 8401 Osuna Rd NE
Suite E
Albuquerque, NM 87111-2074 - Phone
- (505) 884-6408
- Fax
- (505) 872-3065
- NPI assigned
- Nov 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DD3421 | NM | Primary |
| General Practice Dentistry | 1223G0001X | 7670 | AZ |
Addresses
Primary practice location
8401 Osuna Rd NE
Suite E
Albuquerque, NM 87111-2074
Mailing address
8401 Osuna Rd NE
Suite E
Albuquerque, NM 87111-2074
Phone (505) 884-6408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 15, 2019 through Oct 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD3421 | NM | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowers and Oki Family Dentistry, PC | 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.
-
- General Practice Dentistry
- Albuquerque, NM
- NPI 1992066419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1467607382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 OSUNA RD NE",
"address_2": "SUITE E",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112074",
"telephone_number": "505-884-6408",
"fax_number": "505-872-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 OSUNA RD NE",
"address_2": "SUITE E",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112074",
"telephone_number": "505-884-6408",
"fax_number": "505-872-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-19",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD3421",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "7670",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.