Kyle Spencer Owens, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

T7676 Issued in TX

Practice address

1030 S Coit Rd
Prosper, TX 75078-2950

Phone

(469) 769-3376

Fax

(469) 389-3376

NPI assigned

Mar 22, 2017

Sex

Male

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

Enrolled in LA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

East Tennessee State University Quillen College of Medicine, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Lockhart Matter Dermatology PLLCGroup PAC ID 6709275878, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kowens@lockhartmatterderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lockhart Matter Dermatology PLLC

  • Dermatology Physician
  • Prosper, TX
  • NPI 1114682846

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Lockhart Matter Mohs & Surgery Center

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
  • NPI 1124840244

  Single Specialty

  Medicare reassignment NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428

  Single Specialty

  Medicare reassignment NPD
• Ochsner Clinic LLC

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • Covington, LA
  • NPI 1942645635
  NPD

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1497286322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S COIT RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782950",
            "telephone_number": "469-769-3376",
            "fax_number": "469-389-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S COIT RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782950",
            "telephone_number": "469-769-3376",
            "fax_number": "469-389-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "KYLE",
        "middle_name": "SPENCER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "T7676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Osuji, PHARMD
• Alysse Ottinger, BCBA
• Anabella Ovalles Lima
• Steven Paul Overn, D.O.
• Angel Owens
• Cordelia Ozigboh-Lee, PMHNP-BC
• Obianamma N Ozuah, ANP
• Alexa Padilla
• Wingate Holmes Paine III, LMT
• Cynthia Bandah Paintsil, RN

• Dermatology Physician in Prosper, TX
• Providers in Prosper, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.