Individual provider Active NPI

Wade Hampton Owens, DDS

  • Prosthodontics
  • West Point, NY
National Provider Identifier
1023097367
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DE00010534 Issued in WA
Practice address
United States Military Academy
646 Swift Road, BLDG 606
West Point, NY 10996-1942
Phone
(845) 938-2449
Fax
(845) 938-2449
NPI assigned
Jan 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DE00010534 WA Primary

Addresses

Primary practice location

United States Military Academy
646 Swift Road, BLDG 606
West Point, NY 10996-1942

Mailing address

United States Military Academy
646 Swift Road, BLDG 606
West Point, NY 10996-1942
Phone (845) 938-2449

Other names 1

  • Mr. Wade Hampton Owens Other name

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

State licenses

LicenseStateTypeSpecialty
DE00010534WAMDProsthodontist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1023097367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNITED STATES MILITARY ACADEMY",
            "address_2": "646 SWIFT ROAD, BLDG 606",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961942",
            "telephone_number": "845-938-2449",
            "fax_number": "845-938-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNITED STATES MILITARY ACADEMY",
            "address_2": "646 SWIFT ROAD, BLDG 606",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961942",
            "telephone_number": "845-938-2449",
            "fax_number": "845-938-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "WADE",
        "middle_name": "HAMPTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-14",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE00010534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WADE",
            "last_name": "OWENS",
            "middle_name": "HAMPTON",
            "prefix": "MR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.