Active NPI
Katelyn Miller Owen, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Catonsville, MD
National Provider Identifier
1003559386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 17184
- Practice address
- 606 Frederick Rd FL 2Flo2
Catonsville, MD 21228-4856 - Phone
- (410) 744-2230
- NPI assigned
- Apr 15, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 17184 | MD | Primary |
Addresses
Primary practice location
606 Frederick Rd FL 2Flo2
Catonsville, MD 21228-4856
Mailing address
412 Samanthas CT
Reisterstown, MD 21136-6435
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17184 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1003559386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 SAMANTHAS CT",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211366435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 FREDERICK RD FL 2FLO2",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284856",
"telephone_number": "410-744-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "KATELYN",
"middle_name": "MILLER",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-15",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "17184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.