Lisa Sue Bowerman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018605 Issued in MI

Practice address

38959 Cherry Hill Rd
Westland, MI 48186-3250

Phone

(734) 326-2010

Fax

(734) 326-2625

NPI assigned

Nov 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Birchtree Dental Center

  • General Practice Dentistry
  • Westland, MI
  • NPI 1497824155
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639248586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38959 CHERRY HILL RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481863250",
            "telephone_number": "734-326-2010",
            "fax_number": "734-326-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38959 CHERRY HILL RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481863250",
            "telephone_number": "734-326-2010",
            "fax_number": "734-326-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERMAN",
        "first_name": "LISA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Borodaty
• Alexander Borrello
• Ciara Bostwick
• Michael L Bourgoise, LMSW-C, CAADC
• Paul Bouschet Jr.
• Maura Louise Bowerson, COTAL
• Charlotte Bowles
• Cheryl Boyd, P.A.
• Carla B Boyes, R.D.
• Ginger Renee Bradfield Clarke, MA CAADC

• General Practice Dentistry in Westland, MI
• Providers in Westland, MI by specialty
• General Practice Dentistry in Michigan

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.