Casey J Owen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000009320 Issued in TN

Practice address

102 Ervin Dr
Suite a
Carthage, TN 37030-1081

Phone

(615) 735-0600

NPI assigned

Nov 28, 2011

Last updated

Nov 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Bailey Family Dentistry, PLLC

  • General Practice Dentistry
  • Carthage, TN
  • NPI 1881551109
  NPD (past)

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1104193747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ERVIN DR",
            "address_2": "SUITE A",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370301081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ERVIN DR",
            "address_2": "SUITE A",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370301081",
            "telephone_number": "615-735-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "CASEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000009320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehta Care, LLC
• Michael R. Hassell, O.D., P.C. (Family Eye Care)
• Audrie M Nicholson, LCSW
• Reyna Elisa Niner, MD
• Allan E. Overby, ATC
• Premier Medical Associates LLC
• Red Bank Radiology, P.C.
• Riverview Medical Center LLC (Highpoint Health - Riverview with Ascension Saint Thomas)
• Riverview Medical Center LLC (Carthage Family Wellness)
• Riverview Medical Center LLC (Highpoint Health - Riverview with Ascension Saint Thomas)

• General Practice Dentistry in Carthage, TN
• Providers in Carthage, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.