NPIMap

Organization Active NPI

Pamela a. Powell, DMD, PA

  • Dental Clinic/Center
  • Boise, ID
National Provider Identifier
1144653833
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D1819 Issued in ID
Legal business name
PAMELA A. POWELL, DMD, PA
Practice address
120 N 23Rd St
Boise, ID 83702-4940
Phone
(208) 344-2593
Fax
(208) 344-5208
NPI assigned
Aug 16, 2013
Last updated
Aug 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Dr. Pamela A. Powell, DMDNPI 1912112004
Title
Owner/President
Phone
(208) 344-2593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D1819 ID Primary

Addresses

Primary practice location

120 N 23Rd St
Boise, ID 83702-4940

Mailing address

120 N 23Rd St
Boise, ID 83702-4940
Phone (208) 344-2593

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1144653833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N 23RD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024940",
            "telephone_number": "208-344-2593",
            "fax_number": "208-344-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 23RD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024940",
            "telephone_number": "208-344-2593",
            "fax_number": "208-344-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA A. POWELL, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-344-2593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D1819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.