Active NPI
John Stanley Owens, D.C.
- Sports Physician Chiropractor
- Bonifay, FL
National Provider Identifier
1073738951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 3307
- Practice address
- 1604 S Waukesha St
Bonifay, FL 32425-3112 - Phone
- (850) 547-2244
- Fax
- (850) 547-2422
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 3307 | FL | Primary |
Addresses
Primary practice location
1604 S Waukesha St
Bonifay, FL 32425-3112
Mailing address
PO Box 325
Bonifay, FL 32425-0325
Phone (850) 547-2244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080909000654 | FL | Practitioner - Chiropractic | 1254407661 | Practice locations: Bonifay, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1604 S Waukesha St
Bonifay, FL 32425-3112
Phone (850) 547-2422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073738951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 325",
"city": "BONIFAY",
"state": "FL",
"postal_code": "324250325",
"telephone_number": "850-547-2244",
"fax_number": "850-547-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 S WAUKESHA ST",
"city": "BONIFAY",
"state": "FL",
"postal_code": "324253112",
"telephone_number": "850-547-2244",
"fax_number": "850-547-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "JOHN",
"middle_name": "STANLEY",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "FL",
"license": "3307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonifay, FL
- Michelle Newton, APRN
- Northwest Florida Healthcare, Inc. (Bailey Family Practice - Northwest Florida Community Hospital)
- Onyx Health LLC
- Osama Shuaib Ismail
- Osama Shuaib Ismail MD LLC
- Pak Rural Health
- Pancare of Florida, Inc
- Panhandle Family Medicine, LLC
- Brian A Parker, D.M.D.
- Stanley M Parker, D.M.D.
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.