Individual provider Active NPI

Robert Walck Bowser, DMD

  • Dentist
  • York, PA
National Provider Identifier
1760702567
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS038247 Issued in PA
Practice address
2161 E Market St
York, PA 17402-2848
Phone
(717) 757-3474
Fax
(717) 840-4999
NPI assigned
Jun 3, 2010
Last updated
Nov 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS038247 PA Primary

Addresses

Primary practice location

2161 E Market St
York, PA 17402-2848

Mailing address

2161 E Market St
York, PA 17402-2848
Phone (717) 757-3474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150707002616 PA Order and Referring Only - DentistPractitioner - Dentist 5698087427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1760702567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022848",
            "telephone_number": "717-757-3474",
            "fax_number": "717-840-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022848",
            "telephone_number": "717-757-3474",
            "fax_number": "717-840-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWSER",
        "first_name": "ROBERT",
        "middle_name": "WALCK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.