Organization Active NPI

Michael D Bowen DDS PC

  • General Practice Dentistry
  • Sanford, MI
National Provider Identifier
1740621606
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901012107 Issued in MI
Legal business name
MICHAEL D BOWEN DDS PC
Practice address
292 E Saginaw Rd
Sanford, MI 48657-9220
Phone
(989) 687-7378
Fax
(989) 687-9449
NPI assigned
Jul 8, 2013
Last updated
Jul 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Dr. Michael Dale Bowen, DDSNPI 1356306641
Title
President
Phone
(989) 687-7378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901012107 MI Primary

Addresses

Primary practice location

292 E Saginaw Rd
Sanford, MI 48657-9220

Mailing address

292 E Saginaw Rd
Sanford, MI 48657-9220
Phone (989) 687-7378

National Provider Directory

National Provider Directory

Locations

292 E Saginaw Rd
Sanford, MI 48657
Phone (989) 687-7378

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1740621606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 E SAGINAW RD",
            "city": "SANFORD",
            "state": "MI",
            "postal_code": "486579220",
            "telephone_number": "989-687-7378",
            "fax_number": "989-687-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 E SAGINAW RD",
            "city": "SANFORD",
            "state": "MI",
            "postal_code": "486579220",
            "telephone_number": "989-687-7378",
            "fax_number": "989-687-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D BOWEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-687-7378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.