DR. BRANDON BOEKAMP FOWLER (NPI# 1780830687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780830687 |
| Entity Type | Individual |
| Full Name | DR. BRANDON BOEKAMP FOWLER |
| Credential | D.D.S. |
| Practice Address |
1231 Elfin Forest Rd W Suite 200 San Marcos CA 92078-2045 |
| Mailing Address |
2815 El Rastro Ln Carlsbad CA 92009-9215 |
| Practice Telephone | 7607980172 |
| Mailing Telephone | 6199336146 |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2017-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 57470 | CA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D-4813-OR | ID | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
57470 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588097521 | Brandon Ray Fowler | Licensed Practical Nurse | 9675 N 5750 W, Highland, UT 84003-9150 | 2013-08-13 |
| 1114223203 | Brandon Covington Fowler | Physical Therapist | 4121 Shelbyville Rd, Louisville, KY 40207-3205 | 2011-02-07 |
| Street Address |
1231 ELFIN FOREST RD W SUITE 200 |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92078-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437623253 | Tania Borja-rodriguez | Nurse Practitioner | 334 Via Vera Cruz #257, San Marcos, CA 92078 | 2019-01-15 |
| 1558846824 | Mckenzie Daile Sorensen | Dentist | 145 S Las Posas Rd Ste 162, San Marcos, CA 92078 | 2018-10-02 |
| 1548750169 | West2north Medical Solutions Inc | Physical Medicine & Rehabilitation | 1595 Grand Ave Ste 100, San Marcos, CA 92078 | 2018-05-18 |
| 1700385747 | Wytoshery Monea Williams | Nurse Practitioner | 1912 Northstar Way, 130, San Marcos, CA 92078 | 2018-02-05 |
| 1457878415 | Smile Community Clinic Inc | Dentist | 670 W. San Marcos Blvd. Ste 103-b, San Marcos, CA 92078 | 2017-08-29 |
| 1740636232 | Ethelaine Centeno | Occupational Therapist | 1615 S. Rancho Santa Fe Road, San Marcos, CA 92078 | 2016-05-13 |
| 1336506203 | Nga Thien Ta | Pharmacist | 671 Rancho Santa Fe, San Marcos, CA 92078 | 2016-01-24 |
| 1689039349 | Kayleigh Ann Desrosiers | Physical Therapist | 137 S Las Posas Rd Ste 254, San Marcos, CA 92078 | 2015-12-23 |
| 1821475930 | Anna Yu | Social Worker | 310 S. Twin Oaks Valley Rd., #107-381, San Marcos, CA 92078 | 2015-04-28 |
| 1831582592 | Bewell Home Physical Therapy P C | Clinic/Center | 1582 W San Marcos Blvd Ste 105b, San Marcos, CA 92078 | 2015-03-05 |
| Find all providers in zip 92078 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1255854758 | Zachary D Nelson Dmd Dental Corporation | Dentist | 955 Boardwalk Ste 202, San Marcos, CA 92078-2659 | 2017-07-18 |
| 1659637973 | Laura Takahashi Deyo | Dentist | 1293 Holmgrove Dr, San Marcos, CA 92078-2800 | 2012-04-11 |
| 1578706271 | Michael R Zarnowitz | Dentist | 833 W San Marcos Blvd, San Marcos, CA 92078-1112 | 2009-04-09 |
| 1245425552 | Kermit Nevaro Welch | Dentist | 321 South L B J Drive, San Marcos, TX 78666 | 2007-09-10 |
| 1538385430 | Jeffrey Kyle Ault | Dentist | 217 N C M Allen Pkwy, San Marcos, TX 78666-5731 | 2007-04-18 |
| 1396812426 | George Peter Tsopels | Dentist | 245 N Rancho Santa Fe Rd Ste 207, San Marcos, CA 92069-1278 | 2006-11-30 |
| 1730675661 | Nader Ehsani Dds Inc | Dentist | 833 W San Marcos Blvd, San Marcos, CA 92078-1112 | 2018-07-03 |
| 1457741860 | Joseph Morneau Dds Inc | Dentist | 955 Boardwalk, Suite 202, San Marcos, CA 92078-2659 | 2015-01-23 |
| 1700152659 | Vesna-lea Ferrer | Dentist | 709 Center Dr Ste 101, San Marcos, CA 92069-2502 | 2012-03-26 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 92078 |
Please comment or provide details below to improve the information on DR. BRANDON BOEKAMP FOWLER.
| 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.