Carol Poveda, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046108 Issued in NY

Practice address

902 Columbus Ave
New York, NY 10025-4040

Phone

(212) 749-5000

Fax

(212) 749-5522

NPI assigned

Oct 23, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Columbus Avenue Dental Association

  • General Practice Dentistry
  • New York, NY
  • NPI 1538367222
  Authorized official Same address or phone

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

{
    "created_epoch": "1130025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154311090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254040",
            "telephone_number": "212-749-5000",
            "fax_number": "212-749-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254040",
            "telephone_number": "212-749-5000",
            "fax_number": "212-749-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POVEDA",
        "first_name": "CAROL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Pousada Casal, PHD
• Sarah Pousty, LCAT, ATR-BC
• Kimia Pouyafar, DDS
• Andrei Povarov, RPH
• Oleksandr Povazhnyak, DC
• Marisa Poverman
• Alana Destiny Powell
• Alexis Powell, MA, LCAT, RDT
• Chanel Powell, PMHNP
• Charles Andrew Powell, M.D.

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.