Active NPI
Nicole Bowman
- Dental Hygienist
- Greeley, CO
National Provider Identifier
1487297677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 002025556
- Practice address
- 3400 W 16TH St Ste E
Greeley, CO 80634-6870 - Phone
- (970) 352-5448
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 002025556 | CO | Primary |
Addresses
Primary practice location
3400 W 16TH St Ste E
Greeley, CO 80634-6870
Mailing address
681 Cimarron TRL
Ault, CO 80610-8908
Phone (970) 405-6325
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | dr@230dentalcare.com | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002025556 | CO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1487297677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "681 CIMARRON TRL",
"city": "AULT",
"state": "CO",
"postal_code": "806108908",
"telephone_number": "970-405-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 W 16TH ST STE E",
"city": "GREELEY",
"state": "CO",
"postal_code": "806346870",
"telephone_number": "970-352-5448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "002025556",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "dr@230dentalcare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3400 W 16th St Ste E",
"city": "Greeley",
"state": "CO",
"country_code": "US",
"postal_code": "806346870",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.