Organization Active NPI

Jimmy Owens DDS PC

  • Dentist
  • Lubbock, TX
National Provider Identifier
1831491653
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11844 Issued in TX
Legal business name
JIMMY OWENS DDS PC
Practice address
2736 82ND St
Lubbock, TX 79423-1428
Phone
(806) 745-3381
Fax
(806) 745-3382
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Dr. Jimmy D Owens, DDS
Title
Ceo
Phone
(806) 745-3381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 11844 TX Primary

Addresses

Primary practice location

2736 82ND St
Lubbock, TX 79423-1428

Mailing address

2736 82ND St
Lubbock, TX 79423-1428
Phone (806) 745-3381

National Provider Directory

National Provider Directory

Locations

2736 82nd St
Lubbock, TX 79423
Phone (806) 745-3381

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": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1831491653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231428",
            "telephone_number": "806-745-3381",
            "fax_number": "806-745-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231428",
            "telephone_number": "806-745-3381",
            "fax_number": "806-745-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY OWENS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-745-3381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "11844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.