NPIMap

Organization Active NPI

Jack M. Owens Jr. DDS PC

  • General Practice Dentistry
  • Zachary, LA
National Provider Identifier
1790951770
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4096 Issued in LA
Legal business name
JACK M. OWENS JR. DDS PC
Practice address
5980 Main St
Zachary, LA 70791-4029
Phone
(225) 658-0089
Fax
(225) 658-0789
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. Jack M Owens Jr., D.D.S.
Title
Owner
Phone
(225) 658-0089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4096 LA Primary

Addresses

Primary practice location

5980 Main St
Zachary, LA 70791-4029

Mailing address

5980 Main St
Zachary, LA 70791-4029
Phone (225) 658-0089

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1790951770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 MAIN ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914029",
            "telephone_number": "225-658-0089",
            "fax_number": "225-658-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 MAIN ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914029",
            "telephone_number": "225-658-0089",
            "fax_number": "225-658-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK M. OWENS JR. DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-658-0089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.