Keven Bowdle, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KEVEN BOWDLE, DDS

Doing business as

Knox Legacy Dental

Practice address

11232 W Point Dr Ste B
Knoxville, TN 37934-2872

Phone

(865) 966-6711

Fax

(865) 675-0542

NPI assigned

Oct 12, 2022

Last updated

Oct 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faye McKelvey

Title

Office Manage

Phone

(865) 660-1578

Specialties & licenses 1

Addresses

Other names 1

• Knox Legacy Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Keven Bowdle, DDS

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1467586016
  NPD (past)

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1689399610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11232 W POINT DR STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342872",
            "telephone_number": "865-966-6711",
            "fax_number": "865-675-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11232 W POINT DR STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342872",
            "telephone_number": "865-966-6711",
            "fax_number": "865-675-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVEN BOWDLE, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "MCKELVEY",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "OFFICE MANAGE",
        "authorized_official_telephone_number": "865-660-1578"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knox Legacy Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inara Gadzhiyeva Kestner
• Caitlin Ketelsen
• Amelia Leigh Anne Ketring, APRN
• Gillian Kay Ketron
• Jodi Ketron
• Lindsay Elizabeth Key, LPC-MHSP
• Matthew Michael Key, CRNA
• Graeme Keys, PT
• Chelsea Keyser, HS
• Keystone Pharmacy Services LLC (UT Student Health Center Pharmacy)

• General Practice Dentistry in Knoxville, TN
• Providers in Knoxville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.