Jacquline Renee Owens, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DSO38509 Issued in PA

Practice address

2597 Schoenersville Rd
Suite 301 a
Bethlehem, PA 18017-7325

Phone

(610) 866-6663

Fax

(610) 866-6169

NPI assigned

Jun 14, 2011

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 14, 2015 through Jul 14, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1629363924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2597 SCHOENERSVILLE RD",
            "address_2": "SUITE 301 A",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177325",
            "telephone_number": "610-866-6663",
            "fax_number": "610-866-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2597 SCHOENERSVILLE RD",
            "address_2": "SUITE 301 A",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177325",
            "telephone_number": "610-866-6663",
            "fax_number": "610-866-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JACQULINE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DSO38509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge A Otero, M.D.
• Stefanie L. Ott, CRNA
• Winnie J Ouma, PA-C
• Casey Overfield
• Alexis L Overgaard, BA
• Shawn Owens Jr.
• Gary Michael Oxfeld, MD
• Olubusola Omotoke Oyesanmi, D.O
• Camille Paulette Pacheco
• Samuel Paciotti, MD

• Dentist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.