Carol Edwards Owens

Primary specialty

DentistTaxonomy code 122300000X

License

698 Issued in WY

Practice address

1130 S. Hwy 89
Jackson, WY 83001-0628

Phone

(307) 733-3848

Fax

(307) 733-8978

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in WY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1710176789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "address_2": "1130 S. HWY 89",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830010628",
            "telephone_number": "307-733-3848",
            "fax_number": "307-733-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S. HWY 89",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830010628",
            "telephone_number": "307-733-3848",
            "fax_number": "307-733-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "CAROL",
        "middle_name": "EDWARDS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WY",
            "license": "698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osi Jackson Hole, LLC
• Mary Jayne Ottman, RN MS
• Cathie Gantner Overmyer, M.D.
• Kristina Owen, PPC
• Owens Family Dentistry
• Shannon Edward Owens, D.D.S., M.S.
• Stephen E Owens Jr., D.D.S.
• Summer Cathlin Owens, D.D.S.
• Oxford, Jackson, River Rock
• P George Poore MD PC

• Dentist in Jackson, WY
• Providers in Jackson, WY by specialty
• Dentist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.