Jerel Owens D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11444 Issued in MI

Legal business name

JEREL OWENS D.M.D., P.C.

Practice address

15344 W. McNichols
Detroit, MI 48235-3722

Phone

(313) 273-0640

Fax

(313) 273-0118

NPI assigned

Oct 8, 2008

Organization subpart

Yes

Parent organization

JEREL N OWENS D.M.D., P. C.As reported in NPPES

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

Authorized official

Name

Mr. Jerel Owens, D.M.D., P.C.

Title

President

Phone

(313) 273-0640

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jerel N Owens DMD PC2 organizations share this tax ID, including this one

Part of

Jerel N Owens DMD PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jerel N Owens, DMD, PC

  • Dental Clinic/Center
  • Detroit, MI
  • NPI 1437546439
  NPD tax ID

Locations

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1760633747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15344 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353722",
            "telephone_number": "313-273-0640",
            "fax_number": "313-273-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15344 W. MCNICHOLS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353722",
            "telephone_number": "313-273-0640",
            "fax_number": "313-273-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREL OWENS D.M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEREL N OWENS D.M.D., P. C.",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JEREL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-273-0640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4057226",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Lee Jenuwine
• Tae Ho Jeong
• Wooju Jeong, M.D.
• Dawn Lasha Jerangan
• Jerel N Owens, DMD, PC
• Tacarra Jernagin
• Bridgette L Jerrels, D.P.M.
• Jerusalem Gate Ministry
• Weston Reynolds Jeshurun, DO
• Jesscaring Home Care & Support Services

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.