Individual provider Active NPI

Timothy Stone Owens, DC

  • Chiropractor
  • Avon, CT
National Provider Identifier
1043391097
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000601 Issued in CT
Practice address
12 W Avon Rd
Avon, CT 06001-3583
Phone
(860) 673-5665
Fax
(860) 673-2084
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000601 CT Primary

Addresses

Primary practice location

12 W Avon Rd
Avon, CT 06001-3583

Mailing address

12 W Avon Rd
Avon, CT 06001-3583
Phone (860) 673-5665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090107000644 CT Practitioner - Chiropractic 6901969583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000601CTMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Owens Chiropractic Physicians PC PastSince Jul 1, 2002 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shannon@towens.providersdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043391097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W AVON RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013583",
            "telephone_number": "860-673-5665",
            "fax_number": "860-673-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W AVON RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013583",
            "telephone_number": "860-673-5665",
            "fax_number": "860-673-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TIMOTHY",
        "middle_name": "STONE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.