Individual provider Active NPI

David Bowden II, D.C.

  • Chiropractor
  • Wintersville, OH
National Provider Identifier
1770905275
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC04752 Issued in OH
Practice address
860 Main St
Wintersville, OH 43953
Phone
(740) 264-9500
Fax
(740) 266-6394
NPI assigned
Jan 17, 2014
Last updated
Jun 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012578 IL
Chiropractor 111N00000X 2017022073 MO
Chiropractor 111N00000X DC04752 OH Primary

Addresses

Primary practice location

860 Main St
Wintersville, OH 43953

Mailing address

860 Main St
Wintersville, OH 43953-3870
Phone (740) 264-9500

Other practice location 1

1007 Franklin St
Toronto, OH 43964-1153
Phone (740) 537-2000

Other practice location 2

320 S Hollywood Blvd
Steubenville, OH 43952-2423
Phone (740) 264-5559

Other practice location 3

410E Main St
Mascoutah, IL 62258-2229
Phone (618) 566-3005

Other identifiers 1

IdentifierTypeStateIssuer
0250540MedicaidOH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012578ILMDChiropractor
2017022073MOMDChiropractor
DC04752OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Dermatology, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1770905275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533870",
            "telephone_number": "740-264-9500",
            "fax_number": "740-266-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "43953",
            "telephone_number": "740-264-9500",
            "fax_number": "740-266-6394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Toronto",
            "state": "OH",
            "postal_code": "439641153",
            "country_code": "US",
            "telephone_number": "740-537-2000",
            "fax_number": "740-537-9440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 S Hollywood Blvd",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439522423",
            "country_code": "US",
            "telephone_number": "740-264-5559",
            "fax_number": "740-264-5355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410E MAIN ST",
            "address_purpose": "LOCATION",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582229",
            "country_code": "US",
            "telephone_number": "618-566-3005",
            "fax_number": "618-551-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-17",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012578",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2017022073",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC04752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250540",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wintersville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.