Individual provider Active NPI

Dennis Richard Owen Jr., DC

  • Chiropractor
  • Middletown, PA
National Provider Identifier
1326073024
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006140L Issued in PA
Practice address
500 N Union St
Middletown, PA 17057-1950
Phone
(717) 944-2225
Fax
(717) 944-0932
NPI assigned
Jul 11, 2006
Last updated
Sep 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006140L PA Primary

Addresses

Primary practice location

500 N Union St
Middletown, PA 17057-1950

Mailing address

500 N Union St
Middletown, PA 17057-1950
Phone (717) 944-2225

Other identifiers 3

IdentifierTypeStateIssuer
1642803MedicaidPA
OW793822OtherPABC/BS
817594OtherPA1ST PRIORITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000353 PA Practitioner - Chiropractic 8426946963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James R McDermott DC PCGroup PAC ID 2961413463, 2 clinicians

Practice addresses (Care Compare)

569 Pierce St
Kingston, PA 18704-5731
Phone (570) 288-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Body Chiropractic PC Chiropractor CurrentSince Jul 1, 1999 Accepting new patients
Pinnacle Rehabilitation Associates PC PastSince Jul 1, 1999 Accepting new patients
James R McDermott DC PC Chiropractor PastSince Jan 26, 2018 Accepting new patients

Locations

784 Purdytown Tpke
Lakeville, PA 18438
Phone (570) 226-4119

115 N Main St
Taylor, PA 18517
Phone (570) 562-7770

650 N Main St
Taylor, PA 18517
Phone (570) 207-4238

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1326073024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N UNION ST",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170571950",
            "telephone_number": "717-944-2225",
            "fax_number": "717-944-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N UNION ST",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170571950",
            "telephone_number": "717-944-2225",
            "fax_number": "717-944-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "DENNIS",
        "middle_name": "RICHARD",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006140L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1642803",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "OW793822",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST PRIORITY",
            "identifier": "817594",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.