Stephen Matthew Fowler, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9280 Issued in TN

Practice address

2937 Essary Dr
Knoxville, TN 37918-2465

Phone

(865) 686-0050

Fax

(865) 686-0053

NPI assigned

Jun 2, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Michael E. Edenfield, DDS, PC

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1437423217
  NPD (past)

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1699069047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 ESSARY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182465",
            "telephone_number": "865-686-0050",
            "fax_number": "865-686-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 ESSARY DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182465",
            "telephone_number": "865-686-0050",
            "fax_number": "865-686-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "STEPHEN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9280",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531900",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carley O'Shea Fowler, MD
• Carol L Fowler, M.D.
• Casey Fowler
• Daniel Peter Fowler, MD
• Kyra Ashley Fowler, FNP
• Jenna Lee Fowlkes, PA-C
• Susan Morrill Fowlkes, MS, RD, LDN
• Fox Medical Clinic
• Brianna Fox, RBT
• Daniel R Fox, MD

• 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 Jul 16, 2013; 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.