TYLER OWENS (NPI# 1609268861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609268861 |
| Entity Type | Individual |
| Full Name | TYLER OWENS |
| Credential | DMD |
| Practice Address |
3100 E Zora St Webb City MO 64870-9770 |
| Mailing Address |
400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 |
| Practice Telephone | 4172288286 |
| Practice Fax Number | 5124426074 |
| Mailing Telephone | 9189980996 |
| Mailing Fax Number | 9182359079 |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 6969 | OK | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2019005272 | MO | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
61520 | KS | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
106 | OK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200715230A | 05 | |
| MO | 830082149 | 05 | |
| KS | 201253250A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2602 S Picher Ave, Joplin, MO 648041641 | 4177812220 | |
| 404 S Elm St Ste 108, Jenks, OK 740373714 | 9184172417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710540935 | Tyler Owens | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 490, Las Vegas, NV 89102-2309 | 2019-04-15 |
| 1649652173 | Tyler E Owens | Clinical Neuropsychologist | 250 N Shadeland Ave Ste 200, Indianapolis, IN 46219-4959 | 2015-06-20 |
| 1134524820 | Tyler Owens | Specialist/Technologist | 805 Saint Vincents Dr Ste G-100, Birmingham, AL 35205-1637 | 2014-10-24 |
| 1740600576 | Tyler S Owens | Emergency Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2014-04-19 |
| Street Address |
3100 E ZORA ST |
| City | WEBB CITY |
| State | MO |
| Zip Code | 64870-9770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228409 | Cory Mcleod | Dentist | 3100 E Zora St, Webb City, MO 64870-9770 | 2020-06-01 |
| 1013542232 | Moc Webb City, P L L C | Dentist | 3100 E Zora St, Webb City, MO 64870-9770 | 2020-03-09 |
| 1790985752 | Camille Elaine Hostetter | Dentist | 3100 E Zora St, Webb City, MO 64870-9770 | 2007-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| 1639528011 | Adrian Esteban Soto | Dentist | 501 S.madison, Suite P, Webb City, MO 64870 | 2016-06-07 |
| 1518107895 | Joanie Marie Hatterman | Specialist/Technologist | 6151 N. Main Street Road, Webb City, MO 64870 | 2009-02-26 |
| 1184846438 | Carthage Assisted Living, LLC | Assisted Living Facility | 4316 N St Louis Rd, Webb City, MO 64870 | 2007-05-03 |
| 1508087768 | Jacqueline Leanne Young | Speech-Language Pathologist | 411 Madison, Webb City, MO 64870 | 2007-05-02 |
| 1689730392 | Mary Ella Parker | Counselor | 1906 Lakeview Dr, Webb City, MO 64870 | 2006-12-28 |
| 1396233748 | Joshua James Reed | Physical Therapist | 501 S Madison St, Webb City, MO 64870 | 2018-05-01 |
| 1790070050 | Hannah Baxter Andrews | Speech-Language Pathologist | 1829 Philadelphia, Webb City, MO 64870-1093 | 2011-06-15 |
| 1477769404 | Bristol Care, Inc. | Assisted Living Facility | 1803 N Main St, Webb City, MO 64870-1193 | 2007-05-15 |
| 1033245790 | Webb City R-7 School District | Speech-Language Pathologist | 411 N Madison St, Webb City, MO 64870-1238 | 2007-02-26 |
| Find all providers in zip 64870 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068009 | Hometown Pediatric Dentistry LLC | Dentist | 301 S Platte Clay Way Ste A, Kearney, MO 64060-8826 | 2020-06-18 |
| 1710539937 | M. Pratt, Dds, LLC | Dentist | 11709 Old Ballas Rd Ste 200, Saint Louis, MO 63141-7029 | 2019-07-09 |
| 1619471356 | Allison W Buford | Dentist | 2325 Dougherty Ferry Rd Ste 200, Saint Louis, MO 63122-3356 | 2018-03-19 |
| 1972014504 | Rock Dental Missouri LLC | Dentist | 181 N Kentucky Ave Ste 300, West Plains, MO 65775-2092 | 2017-10-23 |
| 1811408479 | Waldo Pediatric Dentistry | Dentist | 8043 Wornall Rd Ste 202, Kansas City, MO 64114-5822 | 2017-10-22 |
| 1437668126 | Como Pediatric Dentistry LLC | Dentist | 1316 Old 63 S Ste 201, Columbia, MO 65201-6092 | 2017-09-25 |
| 1053848374 | Summit Pediatric Dentistry | Dentist | 24 Nw Chipman Rd Ste B, Lees Summit, MO 64063-1929 | 2017-05-17 |
| 1043741309 | Unruh Pediatric Dentistry LLC | Dentist | 717 N Highway 7, Blue Springs, MO 64014-6426 | 2017-03-27 |
| 1932552528 | Gerard Feldhaus Dds PC | Dentist | 415 E 69th Ter, Kansas City, MO 64131-1330 | 2016-07-19 |
| 1356721518 | Christopher Drake | Dentist | 1205 Ne Coronado Dr, Blue Springs, MO 64014-2928 | 2015-06-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.