Organization Active NPI

Owens Family Dentistry

  • Dental Clinic/Center
  • Jackson, WY
National Provider Identifier
1083191035
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
128WY Issued in WY
Legal business name
OWENS FAMILY DENTISTRY
Practice address
1130 S Hwy 89
Jackson, WY 83001-8512
Phone
(307) 733-3848
Fax
(307) 733-8978
NPI assigned
Jul 23, 2018
Last updated
Jul 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Dr. Summer Cathlin Owens, DDSNPI 1790082329
Title
Owner
Phone
(307) 733-3848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 128WY WY Primary

Addresses

Primary practice location

1130 S Hwy 89
Jackson, WY 83001-8512

Mailing address

PO Box 629
Jackson, WY 83001-0629
Phone (307) 733-3848

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1083191035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830010629",
            "telephone_number": "307-733-3848",
            "fax_number": "307-733-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S HWY 89",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018512",
            "telephone_number": "307-733-3848",
            "fax_number": "307-733-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "CATHLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-733-3848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WY",
            "license": "128WY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.