Organization Active NPI

Charles E. Owens, DDS, PC

  • Dentist
  • Southgate, MI
National Provider Identifier
1992918841
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901008791 Issued in MI
Legal business name
CHARLES E. OWENS, DDS, PC
Practice address
13112 Fort St
Southgate, MI 48195-1102
Phone
(734) 282-0033
Fax
(734) 282-6884
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles E. Owens, DDS
Title
President
Phone
(734) 282-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901008791 MI Primary

Addresses

Primary practice location

13112 Fort St
Southgate, MI 48195-1102

Mailing address

13112 Fort St
Southgate, MI 48195-1102
Phone (734) 282-0033

National Provider Directory

National Provider Directory

Locations

13112 Fort St
Southgate, MI 48195
Phone (734) 282-0033

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992918841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13112 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951102",
            "telephone_number": "734-282-0033",
            "fax_number": "734-282-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13112 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951102",
            "telephone_number": "734-282-0033",
            "fax_number": "734-282-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E. OWENS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-282-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901008791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • 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.