Jonathan McEwen DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24701 Issued in TX

Legal business name

JONATHAN MCEWEN DDS, PLLC

Practice address

20212 Champion Forest Dr Ste 400
Spring, TX 77379-8698

Phone

(832) 303-5414

NPI assigned

Oct 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Patrick McEwen, DDS

Title

Dentist

Phone

(281) 210-7079

Specialties & licenses 1

Addresses

Other names 1

• McEwen Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1336651561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 STRATFORD PL",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754299",
            "telephone_number": "281-210-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20212 CHAMPION FOREST DR STE 400",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798698",
            "telephone_number": "832-303-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN MCEWEN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "MCEWEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-210-7079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McEwen Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Spring, TX
• Providers in Spring, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.