Jay Rosamond Owens III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7846 Issued in TX

Practice address

36000 Shoemaker Lane
Ft Cavazos, TX 76544

Phone

(254) 287-8887

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jay Rosamond Owens III Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1427010719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SHOEMAKER DRIVE, SUITE 1052",
            "city": "FT. CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-287-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 SHOEMAKER LANE",
            "city": "FT CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-287-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JAY",
        "middle_name": "ROSAMOND",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "7846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "OWENS",
            "middle_name": "ROSAMOND",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Suzanne M O'Brien, BSN
• Danielle Marie Ochoa, PT
• Amayra Oliveras
• Stephanie Oppenheim
• Wilson Randall Ormsby, DO
• Candace-Rose Pace
• Sita Thapa Pachabhaiya
• Gen Bohm Paek, D.D.S.
• Mavis Ho Park, DDS
• Rodney Parker, RN

• General Practice Dentistry in Fort Cavazos, TX
• Providers in Fort Cavazos, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.