Active NPI
Robert Creed Rowan, D.M.D.
- General Practice Dentistry
- Merced, CA
National Provider Identifier
1871826131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27063
- Practice address
- 631 W 25TH St
Merced, CA 95340-2814 - Phone
- (209) 383-9187
- Fax
- (209) 383-9191
- NPI assigned
- Sep 17, 2009
- 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 | 27063 | CA | Primary |
Addresses
Primary practice location
631 W 25TH St
Merced, CA 95340-2814
Mailing address
631 W 25TH St
Merced, CA 95340-2814
Phone (209) 383-9187
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 |
|---|---|---|---|
| 27063 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1871826131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 W 25TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953402814",
"telephone_number": "209-383-9187",
"fax_number": "209-383-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 W 25TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953402814",
"telephone_number": "209-383-9187",
"fax_number": "209-383-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWAN",
"first_name": "ROBERT",
"middle_name": "CREED",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-17",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "27063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.