Organization Active NPI

Richard S. Powell D.M.D Inc

  • General Practice Dentistry
  • Grass Valley, CA
National Provider Identifier
1235281072
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHARD S. POWELL D.M.D INC
Practice address
10044 Wolf Rd
Suite D
Grass Valley, CA 95949-8193
Phone
(530) 268-8182
NPI assigned
Jan 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Stewart PowellNPI 1265551089
Title
President
Phone
(530) 268-8182

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

10044 Wolf Rd
Suite D
Grass Valley, CA 95949-8193

Mailing address

10044 Wolf Rd
Suite D
Grass Valley, CA 95949-8193
Phone (530) 268-8182

Other identifiers 1

IdentifierTypeStateIssuer
G9384501MedicaidCA

National Provider Directory

National Provider Directory

Locations

10044 Wolf Rd
Ste D
Grass Valley, CA 95949
Phone (530) 268-8182

Practitioners & affiliated clinicians

Practitioners 2

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235281072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10044 WOLF RD",
            "address_2": "SUITE D",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959498193",
            "telephone_number": "530-268-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10044 WOLF RD",
            "address_2": "SUITE D",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959498193",
            "telephone_number": "530-268-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S. POWELL D.M.D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-268-8182",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9384501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.