Individual provider Active NPI

Adam Powell, D.M.D.

  • Endodontics
  • Tuscaloosa, AL
National Provider Identifier
1093034514
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
AL5548 Issued in AL
Practice address
621 Helen Keller Blvd
Suite 300
Tuscaloosa, AL 35404-2902
Phone
(205) 633-3636
Fax
(205) 633-3672
NPI assigned
May 24, 2010
Last updated
Jan 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X AL5548 AL Primary

Addresses

Primary practice location

621 Helen Keller Blvd
Suite 300
Tuscaloosa, AL 35404-2902

Mailing address

621 Helen Keller Blvd
Suite 300
Tuscaloosa, AL 35404-2902
Phone (205) 633-3636

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

LicenseStateTypeSpecialty
AL5548ALMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1093034514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 HELEN KELLER BLVD",
            "address_2": "SUITE 300",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042902",
            "telephone_number": "205-633-3636",
            "fax_number": "205-633-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 HELEN KELLER BLVD",
            "address_2": "SUITE 300",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042902",
            "telephone_number": "205-633-3636",
            "fax_number": "205-633-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AL",
            "license": "AL5548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.