Jonathan M Owens, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013878 Issued in GA

Practice address

111 Stonewall St
Cartersville, GA 30120-3625

Phone

(770) 382-0330

NPI assigned

Jun 10, 2009

Last updated

Oct 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 GA

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

State licenses

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.

• Jonathan M. Owens, DMD, PC

  • General Practice Dentistry
  • Cartersville, GA
  • NPI 1073879193
  NPD (past) Authorized official
• Mockingbird Dental Associates

  • General Practice Dentistry
  • Cartersville, GA
  • NPI 1457810129
  Authorized official Same address or phone

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1316173933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STONEWALL ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203625",
            "telephone_number": "770-382-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STONEWALL ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203625",
            "telephone_number": "770-382-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Taylor Osborne, NP-C
• Outreach Medical Supplies, Inc
• Overcomers Counseling
• Lorna Kay Owenby, FNP
• Haley Jade Owens
• Joyce Pace
• Carlos Eduardo Paez Guerrero, RN
• Srikanth Paladugu, MD
• Chelsy Pannell, PT
• Robert F. Parham, MD

• General Practice Dentistry in Cartersville, GA
• Providers in Cartersville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.