Active NPI
Dennis Doyle Bowman, D.D.S
- General Practice Dentistry
- Stateline, NV
National Provider Identifier
1750596276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 783
- Practice address
- 276 Kingsbury Grade
Stateline, NV 89449 - Phone
- (777) 558-8402
- Fax
- (775) 588-7182
- NPI assigned
- May 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 783 | NV | Primary |
Addresses
Primary practice location
276 Kingsbury Grade
Stateline, NV 89449
Mailing address
PO Box 4560
Stateline, NV 89449-4560
Phone (775) 588-4021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 783 | NV | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750596276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4560",
"city": "STATELINE",
"state": "NV",
"postal_code": "894494560",
"telephone_number": "775-588-4021",
"fax_number": "775-588-7182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 KINGSBURY GRADE",
"city": "STATELINE",
"state": "NV",
"postal_code": "89449",
"telephone_number": "777-558-8402",
"fax_number": "775-588-7182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "DENNIS",
"middle_name": "DOYLE",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stateline, NV
- Aligned Chiropractic and Wellness
- Derek Appelblatt, DDS
- Barton Healthcare System
- Barton Healthcare System (Barton Health Rural Health Clinic - Stateline)
- Barton Healthcare System
- Benjamin Daniel Bradford, M.D.
- Steven Laurence Brooks, MD
- Patricia Anne Bucher, NP
- Jay Chung, MD
- Cosmetic Dermatology by Sean Degnan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.