Active NPI
Joshua David Owen, D.C.
- Chiropractor
- Council Bluffs, IA
National Provider Identifier
1366833444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 076947
- Practice address
- 500 Willow Ave Ste 511
Council Bluffs, IA 51503-0827 - Phone
- (712) 322-8241
- Fax
- (712) 322-8250
- NPI assigned
- Feb 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1836 | NE | |
| Chiropractor | 111N00000X | 076947 | IA | Primary |
Addresses
Primary practice location
500 Willow Ave Ste 511
Council Bluffs, IA 51503-0827
Mailing address
500 Willow Ave Ste 511
Council Bluffs, IA 51503-0827
Phone (712) 322-8241
Other practice location 1
300 W Broadway Ste 712
Council Bluffs, IA 51503-9030
Phone (712) 256-2561
Other practice location 2
2227 W Broadway
Council Bluffs, IA 51501-3631
Phone (712) 322-8241
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1836 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1366833444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WILLOW AVE STE 511",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515030827",
"telephone_number": "712-322-8241",
"fax_number": "712-322-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WILLOW AVE STE 511",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515030827",
"telephone_number": "712-322-8241",
"fax_number": "712-322-8250"
}
],
"practiceLocations": [
{
"address_1": "300 W Broadway Ste 712",
"address_purpose": "LOCATION",
"city": "Council Bluffs",
"state": "IA",
"postal_code": "515039030",
"country_code": "US",
"telephone_number": "712-256-2561",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2227 W Broadway",
"address_purpose": "LOCATION",
"city": "Council Bluffs",
"state": "IA",
"postal_code": "515013631",
"country_code": "US",
"telephone_number": "712-322-8241",
"fax_number": "712-322-8250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OWEN",
"first_name": "JOSHUA",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-11",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1836",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "076947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.