Robert Jaaron Fowers

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2025024490 Issued in MO

Practice address

304 W Washington Ave
Richland, MO 65556-7101

Phone

(877) 406-2662

NPI assigned

May 10, 2023

Last updated

Jun 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Richland Medical Center, Inc.

  dba Central Ozark Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Osage Beach, MO
  • NPI 1891931978
  Medicare reassignment NPD

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1942990163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PARADISE ST",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832925",
            "telephone_number": "557-999-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W WASHINGTON AVE",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655567101",
            "telephone_number": "877-406-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWERS",
        "first_name": "ROBERT",
        "middle_name": "JAARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-10",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2025024490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Katherine Cummings, DDS
• Megan Davault, PTA
• Elizabeth C Ewers Teel, PH.D.
• Rachel Fenton
• Danielle Fowers, NP
• Cameron Gray, DDS
• Jocelyn Joanne Gutowski
• Fuguana Camela Chinika Haggard
• Lynnette Kay Hall, LPC
• Heaven's Hope LLC

• General Practice Dentistry in Richland, MO
• Providers in Richland, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.