Matthew a. Fowler, D.M.D., P.C.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D3264EN Issued in ID

Legal business name

MATTHEW A. FOWLER, D.M.D., P.C.

Practice address

347 W Iowa Ave
Nampa, ID 83686-2856

Phone

(208) 468-9699

Fax

(208) 461-9024

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Matthew A Fowler, D.M.D., M.S.NPI 1538257498

Title

President

Phone

(208) 468-9699

Specialties & licenses 1

Addresses

Practitioners 1

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

• Matthew A Fowler, D.M.D

  • Endodontics
  • Nampa, ID
  • NPI 1538257498
  NPD (past) Authorized official

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1548429434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 W IOWA AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862856",
            "telephone_number": "208-468-9699",
            "fax_number": "208-461-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 W IOWA AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862856",
            "telephone_number": "208-468-9699",
            "fax_number": "208-461-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW A. FOWLER, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-468-9699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "ID",
            "license": "D3264EN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Javin Don Mather, MS, LCPC
• Brooke Dana Mathias
• Ginger Leigh Matkin, CST
• Brinley N Matous
• Stuart Matson
• Colleen Matthews, MS, CCC-SLP
• Ronda L. Mattley, D.C.
• Matushka Olga Michael Maternity Associates, Inc
• Rachel Lynn Mauden
• Reiley E Maupin

• Endodontics in Nampa, ID
• Providers in Nampa, ID by specialty
• Endodontics in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.