Provider Demographics
NPI:1215081286
Name:DENNIS P. OWENS, M.D., P.A.
Entity type:Organization
Organization Name:DENNIS P. OWENS, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-753-3333
Mailing Address - Street 1:6700 W 115TH ST
Mailing Address - Street 2:SUITE 1536
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1553
Mailing Address - Country:US
Mailing Address - Phone:816-753-3333
Mailing Address - Fax:913-708-7516
Practice Address - Street 1:6700 W 115TH ST
Practice Address - Street 2:SUITE 1536
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1553
Practice Address - Country:US
Practice Address - Phone:816-753-3333
Practice Address - Fax:913-708-7516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS204882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS37371011OtherBC BS OF KANSAS CITY
KSW930000Medicare ID - Type Unspecified