Kenneth Darrell Bowman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3578 Issued in VA

Practice address

529 A West Broad Street
Waynesboro, VA 22980-4597

Phone

(540) 943-8545

NPI assigned

Dec 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598829723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 A WEST BROAD STREET",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804597",
            "telephone_number": "540-943-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 A WEST BROAD STREET",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804597",
            "telephone_number": "540-943-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "KENNETH",
        "middle_name": "DARRELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "3578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Dermatology, P.C.
• Blue Ridge Foot & Ankle Clinic, PLC
• Melinda Bosserman, OTR/L
• Penny Orr Bowles, RPH
• Bowman Family Dentistry PLLC
• Laura Jean Brand, M.D.
• Alan Joseph Bream, DDS
• Crystal Breeden, MSW
• Talajah Brooks
• Jo Anne Brown, FNP

• General Practice Dentistry in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.