Active NPI
Melissa Owen, D.D.S.
- General Practice Dentistry
- Summerville, SC
National Provider Identifier
1235523887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9327
- Practice address
- 604A Nexton Square Dr
Summerville, SC 29486-7914 - Phone
- (843) 871-0433
- NPI assigned
- Mar 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 9327 | SC | Primary |
Addresses
Primary practice location
604A Nexton Square Dr
Summerville, SC 29486-7914
Mailing address
16111 Plummer St
Dental Service(160)
North Hills, CA 91343-2036
Phone (757) 472-7587
Other practice location 1
16111 Plummer St
Dental Service(160)
North Hills, CA 91343-2036
Phone (757) 472-7587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 1, 2018 through Aug 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9327 | SC | MD | Professional Counselor |
| 10025 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Turner & Butler DMD PA | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Durham, NC
- NPI 1700973930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1235523887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16111 PLUMMER ST",
"address_2": "DENTAL SERVICE(160)",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913432036",
"telephone_number": "757-472-7587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604A NEXTON SQUARE DR",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294867914",
"telephone_number": "843-871-0433"
}
],
"practiceLocations": [
{
"address_1": "16111 Plummer St",
"address_2": "Dental Service(160)",
"address_purpose": "LOCATION",
"city": "North Hills",
"state": "CA",
"postal_code": "913432036",
"country_code": "US",
"telephone_number": "757-472-7587",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OWEN",
"first_name": "MELISSA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-21",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "9327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.