Individual provider Active NPI

Greggory Bowles, D.D.S.

  • Dentist
  • Chesapeake, VA
National Provider Identifier
1497868277
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401007183 Issued in VA
Practice address
801 Sanderson Road
Chesapeake, VA 23322
Phone
(757) 296-3841
Fax
(757) 495-7859
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401007183 VA Primary

Addresses

Primary practice location

801 Sanderson Road
Chesapeake, VA 23322

Mailing address

1225 Kempsville Road. #64398
Virginia Beach, VA 23467
Phone (757) 672-8513

Other identifiers 1

IdentifierTypeStateIssuer
U98362OtherUPIN

Other names 1

  • Mr. Norman Edward Bowles Jr. Former name

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

State licenses

LicenseStateTypeSpecialty
0401007183VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1497868277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 KEMPSVILLE ROAD. #64398",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23467",
            "telephone_number": "757-672-8513",
            "fax_number": "757-495-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SANDERSON ROAD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23322",
            "telephone_number": "757-296-3841",
            "fax_number": "757-495-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "GREGGORY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U98362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORMAN",
            "last_name": "BOWLES",
            "middle_name": "EDWARD",
            "prefix": "MR.",
            "suffix": "JR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.