Active NPI
Jessica Owens, DMD
- Periodontics
- New Orleans, LA
National Provider Identifier
1639330459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 5977
- Practice address
- 1100 Florida Ave
Dept of Periodontics
New Orleans, LA 70119-2714 - Phone
- (504) 941-8113
- Fax
- (504) 941-8115
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 5977 | LA | Primary |
Addresses
Primary practice location
1100 Florida Ave
Dept of Periodontics
New Orleans, LA 70119-2714
Mailing address
1100 Florida Ave
Dept of Advanced Education and Hospitals
New Orleans, LA 70119-2714
Phone (504) 941-8113
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 |
|---|---|---|---|
| 5977 | LA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376611200000",
"number": "1639330459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 FLORIDA AVE",
"address_2": "DEPT OF ADVANCED EDUCATION AND HOSPITALS",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701192714",
"telephone_number": "504-941-8113",
"fax_number": "504-941-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 FLORIDA AVE",
"address_2": "DEPT OF PERIODONTICS",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701192714",
"telephone_number": "504-941-8113",
"fax_number": "504-941-8115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "JESSICA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2013-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "LA",
"license": "5977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.