Tonya L. Bowman, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

741 W State St
O Fallon, IL 62269-1971

Phone

(618) 632-2282

NPI assigned

Aug 8, 2006

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

Enrolled in IL

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669482345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 W STATE ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691971",
            "telephone_number": "618-632-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 W STATE ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691971",
            "telephone_number": "618-632-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "TONYA",
        "middle_name": "L.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Bost, RBT
• Rhiannon Elizabeth Bovay
• Jetzabeth Arianna Boven, RBT
• Bowman Dental Group
• Elizabeth Jpyce-Ruth Bowman, BEHAVIOR TECHNICIAN
• Brad McMillin Inc
• Benjamin Nathaniel Bradley
• Gwendolyn Bradley
• Katherine Bradley, ATC
• Stacy Elizabeth Bragg, OTR

• General Practice Dentistry in O Fallon, IL
• Providers in O Fallon, IL by specialty
• General Practice Dentistry in Illinois

• 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.