Kenneth D. Owen, DDS, PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2908 Issued in NC

Legal business name

KENNETH D. OWEN, DDS, PA

Practice address

497 N Wendover Rd
Charlotte, NC 28211-1064

Phone

(704) 366-8006

Fax

(704) 364-9390

NPI assigned

Jan 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Dale Owen Sr., D.D.S., M.SC.O.

Title

Orthodontist

Phone

(704) 366-8006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841343308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 N WENDOVER RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111064",
            "telephone_number": "704-366-8006",
            "fax_number": "704-364-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 N WENDOVER RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111064",
            "telephone_number": "704-366-8006",
            "fax_number": "704-364-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH D. OWEN, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "704-366-8006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.D.S., M.SC.O."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "2908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christina Crabbe Kennelly, M.D.
• Michael J. Kennelly, MD
• Nysja Kennerly
• Kenneth C Miles DDS PLLC
• Kenneth H Fox MD PLLC
• Kenneth R Brown DDS, PA
• Katherine Kenneweg, M.D.
• Kenney Orthopedics of Monroe, LLC (Hanger Clinic)
• Ethan Raymond Kenney, PHYSICIAN ASSISTANT

• Orthodontics and Dentofacial Orthopedics Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.