James Jay Fowlie, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25346 Issued in CA

Practice address

16191 Kamana Rd
#102
Apple Valley, CA 92307-0834

Phone

(760) 242-7744

Fax

(760) 242-1833

NPI assigned

Feb 16, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1609235845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16191 KAMANA RD",
            "address_2": "#102",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070834",
            "telephone_number": "760-242-7744",
            "fax_number": "760-242-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16191 KAMANA RD",
            "address_2": "#102",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070834",
            "telephone_number": "760-242-7744",
            "fax_number": "760-242-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLIE",
        "first_name": "JAMES",
        "middle_name": "JAY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew D Ford
• Tenisha Dianne Ford
• Formula Medical Group a Professional Medical Corporation
• Shawna Marie Foronda
• Mickie Elena Forsberg, NP
• Lisa K Frandsen
• Renee Frank, CRT,RCP
• Denise Franken-Duff, H.A.D.
• Krystal Frausto
• Donald Michael Frazee, DC

• General Practice Dentistry in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.