Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1629208707 Deactivated / Inactive NPI Male Practitioner

Dr. Ronald Keith Bowman , DDS

Dentist • Pendleton, IN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ronald Bowman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 22, 2009
NPI Deactivation Date May 03, 2021
Total Practice Duration ~12 Years of Practice (2009 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Bowman, DDS was a registered Dentist practicing in Pendleton, IN. Throughout an active medical career spanning 12 years, Dr. Bowman provided care at the practice location at 4490 REFORMATORY RD until profile deactivation on 2021-05-03.

Practice Location & Contact Primary Location

Practice Address

4490 Reformatory Rd
Pendleton Correctional Facility

Pendleton, IN 460649001

Telephone 7657782107
Fax 7657780226

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Pendleton, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Pendleton, IN (1682 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12005800A

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Akilah Lamar , PsyD

Psychologist - Clinical

NPI 1134754823

Doctor of Psychology (Psy.D.)

Dr. Emily Kardis , PsyD, HSPP

Psychologist - Clinical

NPI 1881152668

Doctor of Psychology (Psy.D.), HSPP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated May 03, 2021

Record deactivated on May 03, 2021

NPI Profile Active July 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2009

Registered at 4490 REFORMATORY RD, PENDLETON CORRECTIONAL FACILITY, PENDLETON, IN 460649001 (Tel: 7657782107)

📍
Updated Business Mailing Address July 22, 2009

Registered at 12761 KIAWAH DR, CARMEL, IN 460338375 (Tel: 3178463584)

👤
Provider Name / Credentials Updated July 22, 2009

Recorded as RONALD BOWMAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2009

Dentist (License #12005800A in IN)

🟢
Initial NPI Registration & Enumeration July 22, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Ronald Bowman. Be the first to share your experience!

Sign in to leave a review for Dr. Ronald Bowman

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1629208707
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2009
Last Update: July 22, 2009
Deactivation Date: May 03, 2021

Mailing Address

12761 Kiawah Dr

Carmel, IN 460338375

Phone: 3178463584

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.