Active NPI
Eric Scott Powell, DDS
- Dentist
- Richland, WA
National Provider Identifier
1265443485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7748
- Practice address
- 750 George Washington Way
Suite #1
Richland, WA 99352 - Phone
- (509) 946-0518
- Fax
- (509) 943-8257
- NPI assigned
- Aug 11, 2006
- Last updated
- Oct 29, 2019
- Sex
- Male
- 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 | 7748 | WA | Primary |
Addresses
Primary practice location
750 George Washington Way
Suite #1
Richland, WA 99352
Mailing address
750 George Washington Way
Suite #1
Richland, WA 99352
Phone (509) 946-0518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150630000120 | WA | Order and Referring Only - Dentist | 8325350648 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7748 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1265443485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 GEORGE WASHINGTON WAY",
"address_2": "SUITE #1",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-946-0518",
"fax_number": "509-943-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 GEORGE WASHINGTON WAY",
"address_2": "SUITE #1",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-946-0518",
"fax_number": "509-943-8257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ERIC",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "7748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
- Heather M Potter, PA-C
- Jennifer Eileen Potts, DPT
- Michael Andrew Potts
- Poulson Counseling PLLC
- Mary Jane Poulson, MA, NCC, LMHC, LPC
- Richard Kelly Powelson, LMHC
- Stata Joan Powers, LMT
- Jennille Prasad, RN
- Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC (Premier Anesthesia of Richland)
- Premier Home Health Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.