Active NPI
Bryant W Stowe, DDS, MS
- Endodontics
- Casper, WY
National Provider Identifier
1942239017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 1225
- Practice address
- 211 W 9TH St
Casper, WY 82601-3780 - Phone
- (307) 234-2580
- Fax
- (307) 234-6992
- NPI assigned
- Jul 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D8614 | OR | |
| Endodontics | 1223E0200X | 1225 | WY | Primary |
Addresses
Primary practice location
211 W 9TH St
Casper, WY 82601-3780
Mailing address
211 W 9TH St
Casper, WY 82601-3780
Phone (307) 234-2580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 943096772 | Other | FEDERAL TAX ID | |
| 022868 | Medicaid | OR |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1225 | WY | MD | Professional Counselor |
| D8614 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1942239017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 W 9TH ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826013780",
"telephone_number": "307-234-2580",
"fax_number": "307-234-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 W 9TH ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826013780",
"telephone_number": "307-234-2580",
"fax_number": "307-234-6992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOWE",
"first_name": "BRYANT",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D8614",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WY",
"license": "1225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "943096772",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022868",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.