Active NPI
Joe Howard Owens, D.P.M.
- Podiatrist
- Kingsport, TN
National Provider Identifier
1366437154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPM271
- Practice address
- 2012 Brookside Dr
Suite 9
Kingsport, TN 37660-4645 - Phone
- (423) 392-6430
- Fax
- (423) 392-6432
- NPI assigned
- Sep 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DPM271 | TN | Primary |
Addresses
Primary practice location
2012 Brookside Dr
Suite 9
Kingsport, TN 37660-4645
Mailing address
2012 Brookside Dr
Suite 9
Kingsport, TN 37660-4645
Phone (423) 392-6430
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3351168 | Medicaid | TN | |
| 246159 | Other | VA | BCBS ANTHEM/VA |
| 1366437154 | Other | TN | NPI |
| 4049239 | Other | TN | BCBS TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPM271 | TN | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260662400000",
"number": "1366437154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 BROOKSIDE DR",
"address_2": "SUITE 9",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604645",
"telephone_number": "423-392-6430",
"fax_number": "423-392-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 BROOKSIDE DR",
"address_2": "SUITE 9",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604645",
"telephone_number": "423-392-6430",
"fax_number": "423-392-6432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "JOE",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-17",
"last_updated": "2009-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TN",
"license": "DPM271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3351168",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ANTHEM/VA",
"identifier": "246159",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1366437154",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "4049239",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.