Crystal J Owens

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H.9034-C Issued in AL

Practice address

6976 Old Cusseta Rd BLDG 4202
Fort Benning, GA 31905-5431

Phone

(706) 544-3176

NPI assigned

Sep 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1144990227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6976 OLD CUSSETA RD BLDG 4202",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055431",
            "telephone_number": "706-544-3176",
            "fax_number": "706-545-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6976 OLD CUSSETA RD BLDG 4202",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055431",
            "telephone_number": "706-544-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "CRYSTAL",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH15213",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AL",
            "license": "H.9034-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "crystal.j.owens6.civ@mail.mil",
            "affiliation": "N",
            "address_1": "6976 Old Cusseta Rd Bldg 4202",
            "city": "Fort Benning",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319055431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shaylee Olive, LICSW
• Optometry Clinic, Inc.
• Gustavo Ortiz, PTA
• Safrona Osbeck, PSY.D.
• Michael Scott Osborne, PH.D., LPC, NCC
• Myung Park
• Barbara Parker
• Kathy Parker
• Rachna A Patel, M.D.
• Smitesh Jay Patel, O.D.

• Dental Hygienist in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Dental Hygienist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.