Individual provider Active NPI

Rodney Lee Powers, D.D.S.

  • General Practice Dentistry
  • Parkersburg, WV
National Provider Identifier
1245237320
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
WV2952 Issued in WV
Practice address
A - 3 Rosemar Cir
BX 4369
Parkersburg, WV 26104
Phone
(304) 428-2058
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X WV2952 WV Primary

Addresses

Primary practice location

A - 3 Rosemar Cir
BX 4369
Parkersburg, WV 26104

Mailing address

PO Box 4369
Parkersburg, WV 26104-4369
Phone (304) 428-2058

Other identifiers 1

IdentifierTypeStateIssuer
0133093-000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150511002384 WV Order and Referring Only - Other (Non-Physician) 5294054391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WV2952WVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1245237320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4369",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261044369",
            "telephone_number": "304-428-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A - 3 ROSEMAR CIR",
            "address_2": "BX 4369",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "26104",
            "telephone_number": "304-428-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "RODNEY",
        "middle_name": "LEE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "WV2952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133093-000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.