Active NPI
Roberta Blazzio Bowers, DDS
- General Practice Dentistry
- Asheboro, NC
National Provider Identifier
1497484968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12732
- Practice address
- 513 White Oak St Ste D
Asheboro, NC 27203-4770 - Phone
- (336) 626-7232
- Fax
- (336) 625-5724
- NPI assigned
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12732 | NC | Primary |
Addresses
Primary practice location
513 White Oak St Ste D
Asheboro, NC 27203-4770
Mailing address
4784 Atrium CT
Wilmington, NC 28405-0202
Phone (407) 462-7776
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 |
|---|---|---|---|
| 12732 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1497484968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4784 ATRIUM CT",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284050202",
"telephone_number": "407-462-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 WHITE OAK ST STE D",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272034770",
"telephone_number": "336-626-7232",
"fax_number": "336-625-5724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAZZIO BOWERS",
"first_name": "ROBERTA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "12732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.