Conor Michael Powers

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859399 Issued in MA

Practice address

18 Dale Ave
Gloucester, MA 01930-5906

Phone

(978) 283-0396

NPI assigned

Jan 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1306550116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BENNETT ST S",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019301357",
            "telephone_number": "978-491-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 DALE AVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019305906",
            "telephone_number": "978-283-0396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Dale Ave",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "MA",
            "postal_code": "019305906",
            "country_code": "US",
            "telephone_number": "978-283-0396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "CONOR",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-06",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "conor.powers@va.gov",
            "affiliation": "N",
            "endpointDescription": "encrypted work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1439 Armacost Ave Apt 302",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900256445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Phoenix Healthcare, LLC
• Gabriella Picariello
• Elizabeth Pierce
• Richard L Pinegar Jr., M.D.
• Tegan Mallary Polhamus, LICSW
• Michael James Powers, DDS
• Rachel Pozzar, MSN, FNP-BC
• Robert Campbell Preston, DDS
• David L. Probert, P.A.
• Lilia Grace Puerto

• General Practice Dentistry in Gloucester, MA
• Providers in Gloucester, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.