Organization Active NPI

Bowser Center for Advanced Dentistry, LLC

  • Dentist
  • York, PA
National Provider Identifier
1497974752
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS-022344L Issued in PA
Legal business name
BOWSER CENTER FOR ADVANCED DENTISTRY, LLC
Practice address
2161 E Market St
York, PA 17402-2848
Phone
(717) 757-3474
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carl E. Bowser, DDS
Title
Sole Member
Phone
(717) 757-3474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS-022344L PA Primary

Addresses

Primary practice location

2161 E Market St
York, PA 17402-2848

Mailing address

2161 E Market St
York, PA 17402-2848
Phone (717) 757-3474

Other identifiers 1

IdentifierTypeStateIssuer
1316048879OtherNPI TYPE I

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497974752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022848",
            "telephone_number": "717-757-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022848",
            "telephone_number": "717-757-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWSER CENTER FOR ADVANCED DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWSER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "717-757-3474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-022344L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI   TYPE I",
            "identifier": "1316048879",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.