Active NPI
Richard S. Powell D.M.D Inc
- General Practice Dentistry
- Grass Valley, CA
National Provider Identifier
1235281072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Stewart Powell
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9384501 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Grass Valley, CA
- NPI 1265551089
-
- General Practice Dentistry
- Grass Valley, CA
- NPI 1457470254
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.