Individual provider Active NPI

Joseph Anthony Powers III, DVM

  • Veterinarian
  • Burlington, WA
National Provider Identifier
1154795623
Registry record updated Nov 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
VT60037477 Issued in WA
Practice address
896 N Burlington Blvd
Burlington, WA 98233-4012
Phone
(360) 757-3722
NPI assigned
Nov 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X VT60037477 WA Primary

Addresses

Primary practice location

896 N Burlington Blvd
Burlington, WA 98233-4012

Mailing address

896 N Burlington Blvd
Burlington, WA 98233-4012
Phone (360) 757-3722

Other identifiers 2

IdentifierTypeStateIssuer
075809OtherWAUSDA APHIS
VT60037477OtherWAWASHINGTON STATE VETERINARY LICENSE

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
VT60037477WAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1448064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448064000000",
    "number": "1154795623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 N BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982334012",
            "telephone_number": "360-757-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 N BURLINGTON BLVD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982334012",
            "telephone_number": "360-757-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-21",
        "last_updated": "2015-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "WA",
            "license": "VT60037477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDA APHIS",
            "identifier": "075809",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE VETERINARY LICENSE",
            "identifier": "VT60037477",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2015; 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.