John Randall Owen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401411110 Issued in VA

Practice address

12725 Patrick Henry Dr
Newport News, VA 23602-9516

Phone

(757) 874-6712

Fax

(757) 886-1319

NPI assigned

Jan 19, 2006

Last updated

Feb 17, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1467432161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 PATRICK HENRY DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029516",
            "telephone_number": "757-874-6712",
            "fax_number": "757-866-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 PATRICK HENRY DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029516",
            "telephone_number": "757-874-6712",
            "fax_number": "757-886-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JOHN",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Ouellette, COTA
• Our Path Counseling Center
• Charlotte Tallman Outten, FNP-C
• Damien Overbey
• Christopher Owen
• Kelly Christina Owens
• Kristen Marie Owens
• Lakesia Deneise Owens, MEDICAL ASSISTANT
• Martha F. Owens, LMFT, LPC
• Shantora Oyeneyin

• Dentist in Newport News, VA
• Providers in Newport News, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.