Alivia Beth Owens

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601395 Issued in MI

Practice address

240 E Grand Blanc Rd
Grand Blanc, MI 48439-1304

Phone

(810) 694-8244

NPI assigned

Jun 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Burau PC

  • Dentist
  • Grand Blanc, MI
  • NPI 1619036613
  NPD (past)

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1386374445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E GRAND BLANC RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E GRAND BLANC RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391304",
            "telephone_number": "810-694-8244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N LeRoy St",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MI",
            "postal_code": "484302734",
            "country_code": "US",
            "telephone_number": "810-694-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "ALIVIA",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Osika, LMSW
• Abdulfatah Osman, M.D.
• Otevwa Homes Inc
• Morgan Kiah Overstreet, LPC
• James E Owen, OD
• Tara Owens
• Carlos R Padilla, DO
• Hannah Nicole Padilla
• Painless Dental Care PLC
• Lindsay Palazzola

• General Practice Dentistry in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.