Walter Russell Owens III, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3526 Issued in TN

Practice address

617 Woodland St
Nashville, TN 37206-4211

Phone

(615) 256-2321

Fax

(615) 221-9891

NPI assigned

Aug 28, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• American Dental Center

  • Dentist
  • Nashville, TN
  • NPI 1871754820
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1356535876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 TURTLE CREEK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275617",
            "telephone_number": "615-293-2957",
            "fax_number": "615-221-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 WOODLAND ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372064211",
            "telephone_number": "615-256-2321",
            "fax_number": "615-221-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "WALTER",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "3526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE",
            "identifier": "5622",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Lynne Owens, M.D.
• Kaitlin Elizabeth Ramsey Owens
• Mary Owens
• Phillip Owens, ED.D., LPC/MHSP
• Ruth Owens
• William Clayton Owens, DPT
• Yolanda L Owens, PMHNP-BC
• Anna Hinton Owings, DO
• Joy Nancy Owings, DNP, APRN, FNP-BC
• Benjamin Ownby, LMT

• All providers in Nashville, TN
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.