NPIMap

Organization Active NPI

Bowen & Bowen, PLLC

  • General Practice Dentistry
  • Clay, WV
National Provider Identifier
1497867964
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
WV3570 Issued in WV
Legal business name
BOWEN & BOWEN, PLLC
Practice address
319 Main St
Clay, WV 25043
Phone
(304) 587-7495
Fax
(304) 587-7425
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Gary Max Bowen II, DDSNPI 1649322074
Title
Member
Phone
(304) 587-7495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X WV3570 WV Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X WV3620 WV

Addresses

Primary practice location

319 Main St
Clay, WV 25043

Mailing address

PO Box 965
Clay, WV 25043
Phone (304) 587-7495

Other identifiers 1

IdentifierTypeStateIssuer
3810005399MedicaidWV

Other names 1

  • Bowen Dental Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bowen Bowen PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1497867964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "25043",
            "telephone_number": "304-587-7495",
            "fax_number": "304-587-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 MAIN ST",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "25043",
            "telephone_number": "304-587-7495",
            "fax_number": "304-587-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWEN & BOWEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-587-7495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "WV3570",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "WV3620",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005399",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowen Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clay, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.