Organization Active NPI

Jon Bowie, D. M. D., P. C.

  • Dental Clinic/Center
  • Mobile, AL
National Provider Identifier
1891809919
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4905 Issued in AL
Legal business name
JON BOWIE, D. M. D., P. C.
Practice address
4728 Airport Blvd
Suite a
Mobile, AL 36608-3170
Phone
(251) 343-1794
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Dr. Jon Nathan Bowie, D. M. D.NPI 1043298698
Title
Owner/Dentist
Phone
(251) 343-1794

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
Dental Clinic/Center 261QD0000X 4905 AL Primary

Addresses

Primary practice location

4728 Airport Blvd
Suite a
Mobile, AL 36608-3170

Mailing address

4728 Airport Blvd
Suite a
Mobile, AL 36608-3170
Phone (251) 343-1794

Other identifiers 1

IdentifierTypeStateIssuer
009985270MedicaidAL

National Provider Directory

National Provider Directory

Locations

4728 Airport Blvd
Ste A
Mobile, AL 36608
Phone (251) 343-1794

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1891809919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4728 AIRPORT BLVD",
            "address_2": "SUITE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083170",
            "telephone_number": "251-343-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4728 AIRPORT BLVD",
            "address_2": "SUITE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083170",
            "telephone_number": "251-343-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON BOWIE, D. M. D., P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "BOWIE",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "251-343-1794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. M. D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "4905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009985270",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.