Thomas J Owen, DC
Individual provider Active NPI Chiropractor · Winner, SD
NPI 1972896579 · NPPES record last updated May 16, 2011
Key facts
- NPI
- 1972896579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1191 (SD)
- Practice address
- 911 Golden Prairie Dr
Winner, SD 57580-2176 - Phone
- (605) 842-3497
- Fax
- (605) 842-4476
- NPI assigned
- May 16, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
119 N Mill St
Beloit, KS 67420-2343
Phone (785) 738-5353
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120515000616 | KS | Practitioner - Chiropractic | 4981872504 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owen Chiropractic, P.a. | Chiropractor | Current |
Accepting new patients |
| Fogel Clinic | Chiropractor | Past | Accepting new patients |
Locations
119 N Mill St
Beloit, KS 67420
Phone (785) 738-5353
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1191 | SD | Yes |
Addresses
Primary practice location
911 Golden Prairie Dr
Winner, SD 57580-2176
Mailing address
911 Golden Prairie Dr
Winner, SD 57580-2176
Phone (605) 842-3497
Other providers in Winner, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.