Active NPI
David J Owens, DDS
- General Practice Dentistry
- Stevens Point, WI
National Provider Identifier
1790058865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5001311
- Legal business name
- DAVID J OWENS, DDS
- Practice address
- 2308 Wyatt Ave
Stevens Point, WI 54481-3635 - Phone
- (715) 341-5441
- Fax
- (715) 341-4752
- NPI assigned
- Feb 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Joseph Owens, D.D.S.
- Title
- Owner
- Phone
- (715) 341-5441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5001311 | WI | Primary |
Addresses
Primary practice location
2308 Wyatt Ave
Stevens Point, WI 54481-3635
Mailing address
2308 Wyatt Ave
Stevens Point, WI 54481-3635
Phone (715) 341-5441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33608800 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
2308 Wyatt Ave
Stevens Point, WI 54481
Phone (715) 341-5441
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Stevens Point, WI
- NPI 1316141518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329696000000",
"number": "1790058865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 WYATT AVE",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544813635",
"telephone_number": "715-341-5441",
"fax_number": "715-341-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2308 WYATT AVE",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544813635",
"telephone_number": "715-341-5441",
"fax_number": "715-341-4752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID J OWENS, DDS",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-20",
"last_updated": "2012-02-20",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "715-341-5441",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "5001311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33608800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.