Individual provider Active NPI

Joe Howard Owens, D.P.M.

  • Podiatrist
  • Kingsport, TN
National Provider Identifier
1366437154
Registry record updated Dec 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM271 Issued in TN
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

Updated by the provider on Dec 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3351168MedicaidTN
246159OtherVABCBS ANTHEM/VA
1366437154OtherTNNPI
4049239OtherTNBCBS 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DPM271TNMDPodiatrist

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.

Verify at the official NPI Registry.