Individual provider Active NPI

David J. Powell, DDS

  • General Practice Dentistry
  • Sterling Heights, MI
National Provider Identifier
1013908474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16128 Issued in MI
Practice address
1950 Chesley Dr
Sterling Heights, MI 48310-4817
Phone
(586) 979-0300
Fax
(586) 979-1991
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16128 MI Primary

Addresses

Primary practice location

1950 Chesley Dr
Sterling Heights, MI 48310-4817

Mailing address

1950 Chesley Dr
Sterling Heights, MI 48310-4817
Phone (586) 979-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608002177 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5890016471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16128MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M Dorazio DDS PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013908474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 CHESLEY DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104817",
            "telephone_number": "586-979-0300",
            "fax_number": "586-979-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 CHESLEY DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104817",
            "telephone_number": "586-979-0300",
            "fax_number": "586-979-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "16128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.