Daniel Anthony Bowen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011964 Issued in MI

Practice address

17000 Robbins Rd
Grand Haven, MI 49417-2788

Phone

(616) 846-7360

NPI assigned

Dec 11, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: daniel.bowen.1@15079.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bethany Christian Services Inc.

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
  • NPI 1528104643
  NPD (past)
• Thornley and Associates DDS PC

  dba Thornley and Reinhardt Family Dental Care

  • Dental Clinic/Center
  • Grand Haven, MI
  • NPI 1003865114
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720148893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 HIGHLAND DR",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562308",
            "telephone_number": "616-846-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 ROBBINS RD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172788",
            "telephone_number": "616-846-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "DANIEL",
        "middle_name": "ANTHONY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "011964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Michael Bontumasi, M.D.
• Ashley Bookmyer
• Kristie Marie Boone-Ward, LMSW, ACSW
• Daniela Borecky, MD
• Evelyn Bosman, MSW
• Natalie Grace Bower
• Susan Bowers
• Nicole Bowyer
• Sheryl Lynn Boynton, MA, LLP
• Jaclyn Bradley, DPT

• General Practice Dentistry in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.