Darren A. Owens, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012130 Issued in GA

Practice address

105 Highland Ave.
Cornelia, GA 30531

Phone

(706) 778-8645

Fax

(706) 776-2650

NPI assigned

Apr 14, 2006

Last updated

Feb 17, 2022By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Atlanta Dental Team Stone Mountain PC

  • Dentist
  • Stone Mountain, GA
  • NPI 1528331923
  NPD (past) Authorized official
• Cornelia Dental, LLC

  • Dental Clinic/Center
  • Cornelia, GA
  • NPI 1023435310
  NPD (past)
• Ralph L. Jackson, DDS, PC

  dba Cornelia Dental

  • Dental Clinic/Center
  • Cornelia, GA
  • NPI 1518108190
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1760446900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MAIN ST",
            "address_2": "SUITE F",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832978",
            "telephone_number": "770-469-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HIGHLAND AVE.",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "30531",
            "telephone_number": "706-778-8645",
            "fax_number": "706-776-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "DARREN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "012130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Georgia Vision Care LLC (King Vision Care)
• Northeast Georgia Vision Care, LC (King Vision Care)
• Nutrition a la Mesa
• Connor Ondriezek
• Brandi Allison Owen Wilbanks
• Kimberly Page
• Monica Cantrell Parker, MA, CCC-SLP
• Timothy Alan Parker, O.D.
• Mark W Perry, D.M.D.
• Aaron Phipps

• General Practice Dentistry in Cornelia, GA
• Providers in Cornelia, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.