Charles L Owens, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

019020907 Issued in IL

Practice address

747 E 79TH St
Chicago, IL 60619-3117

Phone

(773) 874-0404

Fax

(773) 874-5900

NPI assigned

Apr 14, 2008

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Associated Dental Center

  • Dentist
  • Chicago, IL
  • NPI 1073676946
  NPD (past) Authorized official
• Phocused Consulting LLC

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1679048334
  NPD

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1740454529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19329",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606190329",
            "telephone_number": "773-874-0404",
            "fax_number": "773-874-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 E 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606193117",
            "telephone_number": "773-874-0404",
            "fax_number": "773-874-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Owens
• Brittany Owens
• Brittney Owens
• Carneal Owens II, PT, DPT
• Carolyn Faye Owens, RN
• Chastity Owens
• Dana Owens
• Emily Owens
• Erica Lynn Owens
• Hassan Owens, MD

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.