MS. KAITLIN ANN BOWMAN (NPI# 1215390018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215390018 |
| Entity Type | Individual |
| Full Name | MS. KAITLIN ANN BOWMAN |
| Credential | D.D.S |
| Practice Address |
440 E Tampa St Springfield MO 65806-1131 |
| Mailing Address |
565 Pond View Dr Apt 303 North Liberty IA 52317-2502 |
| Practice Telephone | 4178310150 |
| Mailing Telephone | 8157214933 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2019002303 | MO | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 836 W Wellington Ave, Chicago, IL 606575147 | 7739751600 |
| Street Address |
440 E TAMPA ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65806-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468411 | Della Goodwin | Social Worker | 440 E Tampa St, Springfield, MO 65806-1131 | 2005-06-24 |
| 1144829466 | Marianette Colon Laboy | Psychologist | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-10-19 |
| 1316576523 | Sarah Beth Jackson | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-04-08 |
| 1942839410 | Darius William Sanford | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-04-06 |
| 1639707649 | Trent Duane Madsen | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-27 |
| 1457988453 | Chelsea Runez Brown | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-27 |
| 1043845993 | Hallie Casteel | Student in an Organized Health Care Education/Training Program | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-10 |
| 1588298228 | Chelsea Houser | Nurse Practitioner | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-03-02 |
| 1104458207 | Linsey Denney | Occupational Therapist | 440 E Tampa St, Springfield, MO 65806-1131 | 2020-02-06 |
| 1962052092 | Adeline Limmex | Counselor | 440 E Tampa St, Springfield, MO 65806-1131 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614625 | Jaleesa Warnay Westmoreland-ginger | Specialist/Technologist | 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 | 2019-02-01 |
| 1609359116 | Stacy Johnson | Social Worker | 134 West Park Central Sq, Springfield, MO 65806 | 2018-09-11 |
| 1801312871 | Scott Lewis Stegeman | Specialist/Technologist | 609 E Cherry St, Springfield, MO 65806 | 2017-08-21 |
| 1154787638 | Alicia R. Thomas | Nurse Practitioner | 618 N. Benton, Springfield, MO 65806 | 2016-01-13 |
| 1972938231 | Karah Nicole Domenico | Dietitian, Registered | 205 Park Central East Ste. 217, Springfield, MO 65806 | 2013-09-05 |
| 1386766921 | Mary Ann Wood Smith | Counselor | 305 East Walnut, Suite 103, Springfield, MO 65806 | 2007-04-04 |
| 1811023161 | Yvonda Schwartz | Counselor | 1212 W Lombard, Great Circle, Springfield, MO 65806 | 2007-02-23 |
| 1861579880 | Richard Chalon Aiken | Psychiatry & Neurology | 440 S Market Street, Springfield, MO 65806 | 2006-11-01 |
| 1093806671 | Clint A Strong | Family Medicine | 440 E. Tampa St, Springfield, MO 65806 | 2006-09-27 |
| 1609835164 | Ray E. Burmood | Social Worker | 614 South Street, Springfield, MO 65806 | 2006-03-22 |
| Find all providers in zip 65806 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409887 | Springfield Pediatric Dentistry | Dentist | 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 | 2018-06-06 |
| 1770999658 | Shehzad Muhammad Sajid | Dentist | 7200 Jillspring Ct, Springfield, VA 22152 | 2014-07-11 |
| 1265858021 | John Han D.d.s., P.C. | Dentist | 6120 Brandon Ave Ste 114, Springfield, VA 22150-2504 | 2014-03-17 |
| 1174804280 | Nahee Williams Mcdonald Dds PC | Dentist | 7841f Rolling Rd, Springfield, VA 22153-2821 | 2011-09-01 |
| 1619177854 | Nahee Williams Mcdonald | Dentist | 7841 Rolling Road, Suite F, Springfield, VA 22153 | 2007-07-24 |
| 1346457983 | Scott H Leaf | Dentist | 7841 Rolling Rd # F, Springfield, VA 22153-2821 | 2007-05-16 |
| 1225243173 | Anne Tran Nghiem | Dentist | 200 Birnie Ave, No Tooth Left Behind Dental Clinic, Springfield, MA 01107-1102 | 2007-05-14 |
| 1730243296 | Susan M Maurer | Dentist | 3020 Happy Landing Dr, Springfield, IL 62711-6259 | 2006-12-20 |
| 1568533727 | Springfield Smiles Youth Dentistry, LLC | Dentist | 376 Cooley St, Springfield, MA 01128-1144 | 2006-11-10 |
| 1427139872 | Joseph Michael Pruitt | Dentist | 1324 E Montclair St, Springfield, MO 65804-4245 | 2006-10-18 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65806 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.