Individual provider Active NPI

Melissa Bowers

  • General Practice Dentistry
  • Boynton Beach, FL
National Provider Identifier
1649679945
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20874 Issued in FL
Practice address
9851 S Military TRL Ste I
Boynton Beach, FL 33436-3205
Phone
(561) 736-0008
NPI assigned
Aug 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN20874 FL Primary

Addresses

Primary practice location

9851 S Military TRL Ste I
Boynton Beach, FL 33436-3205

Mailing address

9851 S Military TRL Ste I
Boynton Beach, FL 33436-3205
Phone (561) 736-0008

Other practice location 1

672 SW Prima Vista Blvd
Suite 202
Port Saint Lucie, FL 34983-1820
Phone (772) 905-2741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN20874FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald G Murstein DMD General Practice PastSince Dec 15, 2019 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1649679945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 S MILITARY TRL STE I",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363205",
            "telephone_number": "561-736-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9851 S MILITARY TRL STE I",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363205",
            "telephone_number": "561-736-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "672 SW Prima Vista Blvd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349831820",
            "country_code": "US",
            "telephone_number": "772-905-2741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.