Active NPI
Nathan Wayne Owens, D.M.D.
- Dentist
- Pulaski, TN
National Provider Identifier
1497916001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8858
- Practice address
- 403 E College St
Pulaski, TN 38478-4315 - Phone
- (931) 363-1388
- Fax
- (931) 363-9623
- NPI assigned
- Jun 17, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8858 | TN | |
| Dentist | 122300000X | 8858 | TN | Primary |
Addresses
Primary practice location
403 E College St
Pulaski, TN 38478-4315
Mailing address
217 Mimosa Dr
Pulaski, TN 38478-5008
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8858 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1497916001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 MIMOSA DR",
"city": "PULASKI",
"state": "TN",
"postal_code": "384785008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 E COLLEGE ST",
"city": "PULASKI",
"state": "TN",
"postal_code": "384784315",
"telephone_number": "931-363-1388",
"fax_number": "931-363-9623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "NATHAN",
"middle_name": "WAYNE",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-17",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "8858",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "8858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pulaski, TN
- Northland Hearing Center, Inc. (The Hearing Aid Center)
- Northside Medical Professionals, P.C. (Northside Medical Professionals Pulaski)
- Marc Howard Norwood, DPH
- Joel Grant Orton, O.D.
- Lara Orton, O.D.
- Lauren Parks, DPT
- Sumitra Patel, CRNP
- Ashley Phelps, FNP-BC
- Elizabeth Raznick Phillips, MSN,FNP-C
- Terri-Lynn Philpott, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.