Individual provider Active NPI

Jarvis B Owens, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1730797119
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38347 Issued in TX
Practice address
17300 El Camino Real Ste 101a
Houston, TX 77058-2743
Phone
(281) 488-8463
NPI assigned
Jul 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.032827 IL
Dentist 122300000X 38347 TX Primary

Addresses

Primary practice location

17300 El Camino Real Ste 101a
Houston, TX 77058-2743

Mailing address

17300 El Camino Real Ste 101a
Houston, TX 77058-2743
Phone (281) 488-8463

Other practice location 1

2608 State St
East Saint Louis, IL 62205-2325
Phone (847) 801-8389

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

LicenseStateTypeSpecialty
38347TXMDDentist
019.032827ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
J Owens Houston DDS PLLC General Practice CurrentSince Mar 11, 2025 Accepting new patients

Locations

17300 El Camino Real
Ste 101A
Houston, TX 77058
Phone (281) 488-8463

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1730797119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 EL CAMINO REAL STE 101A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582743",
            "telephone_number": "281-488-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 EL CAMINO REAL STE 101A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582743",
            "telephone_number": "281-488-8463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2608 State St",
            "address_purpose": "LOCATION",
            "city": "East Saint Louis",
            "state": "IL",
            "postal_code": "622052325",
            "country_code": "US",
            "telephone_number": "847-801-8389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JARVIS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032827",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.