NPIMap

Organization Active NPI

Owens Family Dental Care LLC

  • Dentist
  • Destrehan, LA
National Provider Identifier
1699209890
Registry record updated Apr 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3633 Issued in LA
Legal business name
OWENS FAMILY DENTAL CARE LLC
Practice address
124 Longview Dr
Suite 8
Destrehan, LA 70047-5077
Phone
(985) 764-1615
Fax
(985) 764-1617
NPI assigned
Apr 13, 2017
Last updated
Apr 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2017

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

Authorized official

Name
Dr. Richard L Owens, D.D.S.NPI 1235204835
Title
Owner
Phone
(985) 764-1615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3633 LA Primary

Addresses

Primary practice location

124 Longview Dr
Suite 8
Destrehan, LA 70047-5077

Mailing address

124 Longview Dr
Suite 8
Destrehan, LA 70047-5077
Phone (985) 764-1615

Other identifiers 3

IdentifierTypeStateIssuer
1235204835OtherLAINDIVIDUAL PROVIDER NPI FOR RICHARD L OWENS DDS
1836338MedicaidLA
1245639319OtherLAINDIVIDUAL PROVIDER NPI FOR REID M OWENS DDS

Other names 1

  • Richard L Owens Former legal business name

National Provider Directory

National Provider Directory

Locations

124 Longview Dr
Ste 8
Destrehan, LA 70047
Phone (985) 764-1615

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492214400000",
    "number": "1699209890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LONGVIEW DR",
            "address_2": "SUITE 8",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700475077",
            "telephone_number": "985-764-1615",
            "fax_number": "985-764-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LONGVIEW DR",
            "address_2": "SUITE 8",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700475077",
            "telephone_number": "985-764-1615",
            "fax_number": "985-764-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENS FAMILY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-15",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-764-1615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "3633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI FOR RICHARD L OWENS DDS",
            "identifier": "1235204835",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1836338",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI FOR REID M OWENS DDS",
            "identifier": "1245639319",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard L Owens",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Destrehan, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2017; 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.