Organization Active NPI

John R Fowler DDS Inc

  • Dental Clinic/Center
  • Mount Vernon, OH
National Provider Identifier
1699186072
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
16976 Issued in OH
Legal business name
JOHN R FOWLER DDS INC
Practice address
104 E High St
Mount Vernon, OH 43050-3464
Phone
(740) 392-5966
NPI assigned
May 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Dr. John Fowler, DDS
Title
President
Phone
(740) 392-5966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 16976 OH Primary

Addresses

Primary practice location

104 E High St
Mount Vernon, OH 43050-3464

Mailing address

104 E High St
Mount Vernon, OH 43050-3464
Phone (740) 392-5966

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1699186072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E HIGH ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503464",
            "telephone_number": "740-392-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E HIGH ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503464",
            "telephone_number": "740-392-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R FOWLER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-392-5966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "16976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.