Paul F. Bowersox, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09965 Issued in MD

Practice address

256 E Main St
Westminster, MD 21157-5552

Phone

(410) 857-0107

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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 MD

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1710024930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 PENNSYLVANIA AVE",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211574343",
            "telephone_number": "410-857-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 E MAIN ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575552",
            "telephone_number": "410-857-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERSOX",
        "first_name": "PAUL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "09965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Botero
• Samantha Bouey
• Gladys Y Bourne Carter, LCSW-C
• Kelly Bouscaren, CRT
• Rebecca W Bower, PA-C
• Katherine L Bowes, PA-C
• Shari Lynn Bowman, LCSW-C
• Suzette Brabham
• Laura Delancey Bracken, L.AC, M.AC
• Mary Beth Bracone, LCSW-C

• General Practice Dentistry in Westminster, MD
• Providers in Westminster, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.