Samuel Owens

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6206 Issued in OK

Practice address

602 S Utica Ave
Tulsa, OK 74104-2641

Phone

(918) 585-3744

Fax

(918) 585-3774

NPI assigned

Jun 24, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1578874509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741042641",
            "telephone_number": "918-585-3744",
            "fax_number": "918-585-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741042641",
            "telephone_number": "918-585-3744",
            "fax_number": "918-585-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Ann Owens, LMSW
• Lisa Owens, DO
• Lisa Aileen Owens, DPH
• Maurice Elton Owens
• Miranda Nicole Owens
• Sarah Owens
• April Owings
• Mojirola Owolabi, PHARMD
• Melvin Jerome Oxendine II, PA
• Oxford Hospice Care LLC

• General Practice Dentistry in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.