Sean Christopher Owens, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6183 Issued in LA

Practice address

40470 Germany Rd
Gonzales, LA 70737-6735

Phone

(225) 622-2022

NPI assigned

Apr 16, 2012

Last updated

Apr 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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 LA

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

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.

• Ascension Dental Associates, LLC

  • General Practice Dentistry
  • Gonzales, LA
  • NPI 1265753800
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1205193117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 DAISY AVE",
            "city": "SAINT GABRIEL",
            "state": "LA",
            "postal_code": "707765127",
            "telephone_number": "225-241-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40470 GERMANY RD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376735",
            "telephone_number": "225-622-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "SEAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Lady of the Lake Ascension Community Hospital, Inc. (St. Elizabeth Hospital)
• Our Lady of the Lake Ascension Community Hospital, Inc. (St. Elizabeth Community Clinic)
• Our Lady of the Lake Ascension, LLC (St Elizabeth Physicians Specialists)
• Rebecca Ovide
• Julie G. Owens, M.A.
• P & C Healthcare LLC
• P & C Logistics, LLC
• Parish of Ascension
• Parish of Ascension
• Crystal Parker

• General Practice Dentistry in Gonzales, LA
• Providers in Gonzales, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.