Individual provider Active NPI

David W. Powell, DDS

  • General Practice Dentistry
  • Golden, CO
National Provider Identifier
1104892819
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
100973 Issued in CO
Practice address
17211 S Golden Rd
Ste #100
Golden, CO 80401-6026
Phone
(303) 279-7444
Fax
(303) 279-8011
NPI assigned
Feb 23, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 100973 CO Primary
General Practice Dentistry 1223G0001X 8830 TX

Addresses

Primary practice location

17211 S Golden Rd
Ste #100
Golden, CO 80401-6026

Mailing address

17211 S Golden Rd
Ste #100
Golden, CO 80401-6026
Phone (303) 279-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20151204001561 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2567771009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8830TXMDProfessional Counselor
100973COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Teeth - Speer P.C. General Practice Past Accepting new patients
Perfect Teeth - Union & Academy P.C. General Practice Past Accepting new patients
Perfect Teeth-Specialty Center PC Past Accepting new patients
Perfect Teeth - Ken Caryl P.C. General Practice Past Accepting new patients
Perfect Teeth - South 8TH Street P.C. General Practice Past Accepting new patients
Perfect Teeth - Golden P.C. General Practice Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104892819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17211 S GOLDEN RD",
            "address_2": "STE #100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016026",
            "telephone_number": "303-279-7444",
            "fax_number": "303-279-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17211 S GOLDEN RD",
            "address_2": "STE #100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016026",
            "telephone_number": "303-279-7444",
            "fax_number": "303-279-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DAVID",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "100973",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "8830",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.