Jason Fowler, D.D.S.
NPI 1417205873 · Dentist · Great Lakes, IL
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jason Fowler, D.D.S. is a Dentist provider in Great Lakes, IL (NPI 1417205873).
Provider details
- NPI number
- 1417205873
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 61748 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-08-16
- Last updated
- 2012-08-16
Frequently asked questions
- What is Jason Fowler's NPI number?
- Jason Fowler's National Provider Identifier (NPI) is 1417205873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Fowler's specialty?
- Jason Fowler is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jason Fowler located?
- Jason Fowler's practice location on file with NPPES is 2410 Sampson St, Great Lakes, IL 60088-2942.
- What is Jason Fowler's phone number?
- The practice phone number listed in the NPPES registry for Jason Fowler is (847) 688-3331.
- Does Jason Fowler accept Medicare?
- Jason Fowler is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jason Fowler's NPI active?
- Yes — Jason Fowler's NPI (1417205873) is active in the NPPES registry as of the last update on 2012-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.