Organization Active NPI

David J Owens, DDS

  • General Practice Dentistry
  • Stevens Point, WI
National Provider Identifier
1790058865
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001311 Issued in WI
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

Updated by the provider on Feb 20, 2012

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
33608800MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.