Active NPI
Derek Stephen Owens, DDS, BS
- Pediatric Dentistry
- Denver, CO
National Provider Identifier
1487091443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 39
- Practice address
- 3255 Locust St.
Denver, CO 80207 - Phone
- (303) 349-6480
- NPI assigned
- May 31, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 39 | CO | Primary |
Addresses
Primary practice location
3255 Locust St.
Denver, CO 80207
Mailing address
3255 Locust St
Denver, CO 80207-2146
Phone (303) 349-6480
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39 | CO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1487091443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 LOCUST ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802072146",
"telephone_number": "303-349-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 LOCUST ST.",
"city": "DENVER",
"state": "CO",
"postal_code": "80207",
"telephone_number": "303-349-6480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "DEREK",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DDS, BS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-31",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.