Active NPI
Thomas Nathan Bowles, D.M.D, M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Paducah, KY
National Provider Identifier
1952506404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 8499
- Practice address
- 2850 Lone Oak Rd.
Paducah, KY 42003 - Phone
- (270) 554-2026
- Fax
- (270) 554-9164
- NPI assigned
- Jun 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 8499 | KY | Primary |
| Dentist | 122300000X | 8499 | KY |
Addresses
Primary practice location
2850 Lone Oak Rd.
Paducah, KY 42003
Mailing address
2850 Lone Oak Rd
Paducah, KY 42003-8043
Phone (270) 554-2026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 20, 2017 through Feb 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heine, Heine and Bowles, PLLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Paducah, KY
- NPI 1982058590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1952506404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 LONE OAK RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420038043",
"telephone_number": "270-554-2026",
"fax_number": "270-554-9164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 LONE OAK RD.",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42003",
"telephone_number": "270-554-2026",
"fax_number": "270-554-9164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLES",
"first_name": "THOMAS",
"middle_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "D.M.D, M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KY",
"license": "8499",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "8499",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.