Active NPI
Kristen M Powell
- Dentist
- Saline, MI
National Provider Identifier
1164084919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901600192
- Practice address
- 1101 N Ann Arbor St
Saline, MI 48176-2000 - Phone
- (734) 429-2522
- Fax
- (734) 429-7055
- NPI assigned
- Jul 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901600192 | MI | Primary |
Addresses
Primary practice location
1101 N Ann Arbor St
Saline, MI 48176-2000
Mailing address
1101 N Ann Arbor St
Saline, MI 48176-2000
Phone (734) 429-2522
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901600192 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powell and Udrys DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Saline, MI
- NPI 1477727188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1164084919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 N ANN ARBOR ST",
"city": "SALINE",
"state": "MI",
"postal_code": "481762000",
"telephone_number": "734-429-2522",
"fax_number": "734-429-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N ANN ARBOR ST",
"city": "SALINE",
"state": "MI",
"postal_code": "481762000",
"telephone_number": "734-429-2522",
"fax_number": "734-429-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "KRISTEN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901600192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saline, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.