Active NPI
Dirk William Powell, N.D.
- Naturopath
- Kent, WA
National Provider Identifier
1275545774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 0000374
- Practice address
- 22421 100TH Ave SE
Kent, WA 98031-4228 - Phone
- (253) 852-7384
- Fax
- (253) 852-7384
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | 0000374 | WA | Primary |
Addresses
Primary practice location
22421 100TH Ave SE
Kent, WA 98031-4228
Mailing address
22421 100TH Ave SE
Kent, WA 98031-4228
Phone (253) 852-7384
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000374 | Other | WA | WA STATE LICENSE - ND |
| 0157196 | Other | WA | L&I PROVIDER # |
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 |
|---|---|---|---|
| 0000374 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1275545774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22421 100TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980314228",
"telephone_number": "253-852-7384",
"fax_number": "253-852-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22421 100TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980314228",
"telephone_number": "253-852-7384",
"fax_number": "253-852-7384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "DIRK",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "0000374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE LICENSE - ND",
"identifier": "0000374",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER #",
"identifier": "0157196",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.