Active NPI
Benjamin Daniel Owen, DMD
- General Practice Dentistry
- Jbsa Fort Sam Houston, TX
National Provider Identifier
1629036371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 56467
- Practice address
- 3599 Winfield Scott Rd
Suite 3401
Jbsa Fort Sam Houston, TX 78234 - Phone
- (210) 221-8982
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 | D6571 | AZ | |
| General Practice Dentistry | 1223G0001X | 56467 | CA | Primary |
Addresses
Primary practice location
3599 Winfield Scott Rd
Suite 3401
Jbsa Fort Sam Houston, TX 78234
Mailing address
3599 Winfield Scott Rd
Suite 3401
Jbsa Fort Sam Houston, TX 78234
Phone (210) 221-8982
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 |
|---|---|---|---|
| D6571 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1629036371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3599 WINFIELD SCOTT RD",
"address_2": "SUITE 3401",
"city": "JBSA FORT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-221-8982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3599 WINFIELD SCOTT RD",
"address_2": "SUITE 3401",
"city": "JBSA FORT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "210-221-8982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "BENJAMIN",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2022-12-15",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D6571",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "56467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.