Sidney J. Fowler, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SIDNEY J. FOWLER, D.D.S.

Practice address

1023 N Mound St
Suite D
Nacogdoches, TX 75961-4491

Phone

(936) 564-9401

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kim A Fowler, RDH

Title

Owner/ Office Manager

Phone

(936) 564-9401

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Carthage Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carthage Dental Center

  • General Practice Dentistry
  • Carthage, TX
  • NPI 1982989117
  NPD tax ID

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1659539708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 N MOUND ST",
            "address_2": "SUITE D",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614491",
            "telephone_number": "936-564-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 N MOUND ST",
            "address_2": "SUITE D",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614491",
            "telephone_number": "936-564-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY J. FOWLER, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ OFFICE MANAGER",
        "authorized_official_telephone_number": "936-564-9401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172282901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Hill MD PA
• Anna Joy Windham Shirley, DDS
• Brett McCann Shirley, DDS, MD
• Martha Morphis Sholars, LPC,LMFT, LCDC
• Leonard Keith Shotwell, D.C.
• Michalla Silvey, CF-SLP
• Hadley Mahan Simmonds, LPC
• Dayla Simms, RN
• Rosemary Roberts Simpson, AU.D.
• Scott A Sims, D.C.

• All providers in Nacogdoches, TX
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.