Organization Active NPI

James F. Owens DDS Ms PC

Doing business as Aqua Dental

  • Pediatric Dentistry
  • Tulsa, OK
National Provider Identifier
1548472137
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JAMES F. OWENS DDS MS PC
Doing business as
Aqua Dental
Practice address
10507 E 91St Street Suite 410
Tulsa, OK 74133
Phone
(918) 455-7700
Fax
(918) 455-5541
NPI assigned
May 4, 2007
Last updated
May 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Authorized official

Name
Samuel A Owens, DDS
Title
Owner
Phone
(918) 455-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

10507 E 91St Street Suite 410
Tulsa, OK 74133

Mailing address

10507 E 91St Street Suite 410
Tulsa, OK 74133
Phone (918) 455-7700

Other identifiers 1

IdentifierTypeStateIssuer
200320440AMedicaidOK

Other names 1

  • Aqua Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10507 E 91st St
Ste 410
Tulsa, OK 74133
Phone (918) 455-7700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1548472137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 E 91ST STREET SUITE 410",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-455-7700",
            "fax_number": "918-455-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10507 E 91ST STREET SUITE 410",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-455-7700",
            "fax_number": "918-455-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F. OWENS DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-455-7700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200320440A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aqua Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.