Claude Ken Owens, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN4865 Issued in FL

Practice address

1947 Citrona Dr
Fernandina Beach, FL 32034-4492

Phone

(904) 261-7181

NPI assigned

Aug 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amelia Dental Group, PLLC

  • Dentist
  • Fernandina Beach, FL
  • NPI 1649350349
  NPD (past)

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952419269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 CITRONA DR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344492",
            "telephone_number": "904-261-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 CITRONA DR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344492",
            "telephone_number": "904-261-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "CLAUDE",
        "middle_name": "KEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN4865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chason Garrett Oliver, DPT
• Eric M Olson, D.D.S.
• On Top Therapy LLC
• Kathia A. Ortiz-Cantillo, M.D,
• Nicole Aileen Ortlieb
• Jessica Packard, MSW
• David P Page, MD
• Bethany G Paige, RMHCI
• Nickolas Paris, PT, DPT
• Robert Parsons, RT (R)(MR)

• General Practice Dentistry in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.