Individual provider Active NPI

Robert Lamar Owsley, D.D.S.

  • General Practice Dentistry
  • Trophy Club, TX
National Provider Identifier
1093048803
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12610 Issued in TX
Practice address
1 Hamper CT
Trophy Club, TX 76262-5570
Phone
(817) 239-7171
Fax
(817) 491-5998
NPI assigned
Sep 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12610 TX Primary

Addresses

Primary practice location

1 Hamper CT
Trophy Club, TX 76262-5570

Mailing address

1 Hamper CT
Trophy Club, TX 76262-5570
Phone (817) 239-7171

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
12610TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1093048803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAMPER CT",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625570",
            "telephone_number": "817-239-7171",
            "fax_number": "817-491-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMPER CT",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625570",
            "telephone_number": "817-239-7171",
            "fax_number": "817-491-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWSLEY",
        "first_name": "ROBERT",
        "middle_name": "LAMAR",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trophy Club, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.