Individual provider Active NPI

Paul Bowen, D.C.

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1477982718
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4412 Issued in OH
Practice address
455 Delta Ave Ste 1
Cincinnati, OH 45226-1178
Phone
(513) 321-8484
Fax
(513) 321-3676
NPI assigned
Nov 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4412 OH Primary

Addresses

Primary practice location

455 Delta Ave Ste 1
Cincinnati, OH 45226-1178

Mailing address

455 Delta Ave Ste 1
Cincinnati, OH 45226-1178
Phone (513) 321-8484

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Lookout Chiropractic Center, Inc. Chiropractor CurrentSince Aug 23, 2018 Accepting new patients

Locations

455 Delta Ave
Ste 1
Cincinnati, OH 45226
Phone (513) 321-8484

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1477982718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 DELTA AVE STE 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452261178",
            "telephone_number": "513-321-8484",
            "fax_number": "513-321-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 DELTA AVE STE 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452261178",
            "telephone_number": "513-321-8484",
            "fax_number": "513-321-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "PAUL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.