Active NPI
Sherry R Powell, DMD
- General Practice Dentistry
- West Columbia, SC
National Provider Identifier
1073674941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3184
- Practice address
- 120 Midlands CT
West Columbia, SC 29169-3456 - Phone
- (803) 739-0390
- Fax
- (803) 926-9041
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3184 | SC | Primary |
Addresses
Primary practice location
120 Midlands CT
West Columbia, SC 29169-3456
Mailing address
120 Midlands CT
West Columbia, SC 29169-3456
Phone (803) 739-0390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3184 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073674941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MIDLANDS CT",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693456",
"telephone_number": "803-739-0390",
"fax_number": "803-926-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MIDLANDS CT",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693456",
"telephone_number": "803-739-0390",
"fax_number": "803-926-9041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "SHERRY",
"middle_name": "R",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.