Jon Owen, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.030660 Issued in IL

Practice address

504 N Main St
Smithton, IL 62285-1518

Phone

(618) 233-9012

Fax

(618) 233-2399

NPI assigned

Jul 5, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Owen Dental, LLC.

  • General Practice Dentistry
  • Smithton, IL
  • NPI 1881280030
  NPD Authorized official
• Bircher Family Dental Care PC

  • General Practice Dentistry
  • Smithton, IL
  • NPI 1407962517
  NPD (past)

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1619329471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N MAIN ST",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "622851518",
            "telephone_number": "618-233-9012",
            "fax_number": "618-233-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N MAIN ST",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "622851518",
            "telephone_number": "618-233-9012",
            "fax_number": "618-233-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030660",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.030660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Nicole Massey, APN
• Amy Christine Morra, MS, CCC/SLP
• Msa Alliance, LLC
• Roger Obermeier, HEARING SPECIALIST
• Owen Dental, LLC.
• Park Haven Nursing & Rehabilitation Center LLC (Integrity Healthcare of Smithton)
• PC Associates, LLC
• Jamie Rhiannan Petty, LMT
• Amy Y Pfingsten
• Progress to Success Speech Therapy PLLC

• General Practice Dentistry in Smithton, IL
• Providers in Smithton, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.