Eric M Owen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

34782 Issued in TX

Practice address

502 N Wells St
Edna, TX 77957-2749

Phone

(361) 782-2223

NPI assigned

Jul 14, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lake Texana Family Dentistry

  • Dental Clinic/Center
  • Edna, TX
  • NPI 1790257491
  NPD Authorized official

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1245543685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N WELLS ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779572749",
            "telephone_number": "361-782-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N WELLS ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779572749",
            "telephone_number": "361-782-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1158 W Main St",
            "address_2": "Apt A1-12",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "194464126",
            "country_code": "US",
            "telephone_number": "203-936-8306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "ERIC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038365",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Mitchell, M.D.
• Richard Walter Nelson, M.D.
• Jared D Nielson, FNP-C
• Courtney Lynn Novella, MSN, APRN, FNP-C
• Tracy Yenawine Oldag, PTA
• Travis R Phillips, DDS
• Kristen Pierce, FNP
• Rebecca Marie Powell
• Molly Breanne Quinn-Frankel, MD
• Shelby Belen Rendon, RPHT

• Dentist in Edna, TX
• Providers in Edna, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.