Active NPI
Michael A Mower, DDS
- Dentist
- Boise, ID
National Provider Identifier
1972643153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5219
- Practice address
- 7800 W Ustick Rd Ste 110
Boise, ID 83704-5848 - Phone
- (208) 322-0040
- NPI assigned
- Feb 7, 2007
- Last updated
- Dec 13, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5219 | AZ | Primary |
Addresses
Primary practice location
7800 W Ustick Rd Ste 110
Boise, ID 83704-5848
Mailing address
13619 N 59TH Ave
Glendale, AZ 85304-1203
Phone (602) 938-2911
Other practice location 1
13619 N 59th Ave
Glendale, AZ 85304-1203
Phone (602) 938-2911
Other practice location 2
1166 N Cole Rd Ste A
Boise, ID 83704-8658
Phone (208) 377-8383
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 |
|---|---|---|---|
| 5219 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cole Dental | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Boise, ID
- NPI 1386057040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1972643153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13619 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853041203",
"telephone_number": "602-938-2911",
"fax_number": "602-938-5735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 W USTICK RD STE 110",
"city": "BOISE",
"state": "ID",
"postal_code": "837045848",
"telephone_number": "208-322-0040"
}
],
"practiceLocations": [
{
"address_1": "13619 N 59th Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853041203",
"country_code": "US",
"telephone_number": "602-938-2911",
"fax_number": "602-938-5735",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1166 N Cole Rd Ste A",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837048658",
"country_code": "US",
"telephone_number": "208-377-8383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOWER",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "5219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.