Timothy Michael Owens, D.D.S.
Individual provider Active NPI General Practice Dentistry · Fort Collins, CO
NPI 1124172705 · NPPES record last updated Aug 12, 2020
Key facts
- NPI
- 1124172705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9102 (CO)
- Practice address
- 3506 Lochwood Dr
Fort Collins, CO 80525-2995 - Phone
- (970) 377-2557
- Fax
- (970) 377-0761
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170106000963 | CO | Order and Referring Only - Other (Physician) |
1658695416 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9102 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy M. Owens DDS, PC | General Practice | Current |
Accepting new patients |
| Collindale Dental General Partnership | General Practice | Current |
Accepting new patients |
| Owens Dental Berthoud, P.C. | Current | Accepting new patients |
Locations
3506 Lochwood Dr
Fort Collins, CO 80525
Phone (970) 377-2557
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9102 | CO | Yes |
Addresses
Primary practice location
3506 Lochwood Dr
Fort Collins, CO 80525-2995
Mailing address
3506 Lochwood Dr
Fort Collins, CO 80525-2995
Phone (970) 377-2557
Other providers in Fort Collins, CO
- Brandon Owen
- Owens & Porter PLLC
- Erin Owens
- Korin Owens
- Robert Owens
- Abigail Oyer
- Oz Psychotherapy LLC
- Anna Marie Pachel
- Madison Pachucy
- Bradley Packer
All providers in Fort Collins, CO · General Practice Dentistry in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.