NPIMap

Organization Active NPI

K S Powell DDS PC

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1316016835
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011987 Issued in MO
Legal business name
K S POWELL DDS PC
Doing business as
The Dental Center
Practice address
3403 Union Blvd
Saint Louis, MO 63115-1127
Phone
(314) 381-1556
Fax
(314) 381-4559
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Senior Powell II, DDSNPI 1326125782
Title
President
Phone
(314) 381-1556

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 011987 MO Primary

Addresses

Primary practice location

3403 Union Blvd
Saint Louis, MO 63115-1127

Mailing address

3403 Union Blvd
Saint Louis, MO 63115-1127
Phone (314) 381-1556

Other identifiers 1

IdentifierTypeStateIssuer
11987OtherMODENTAL LICENSE

Other names 1

  • The Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

3403 Union Blvd
Saint Louis, MO 63115
Phone (314) 381-1556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316016835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 UNION BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151127",
            "telephone_number": "314-381-1556",
            "fax_number": "314-381-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 UNION BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151127",
            "telephone_number": "314-381-1556",
            "fax_number": "314-381-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K S POWELL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SENIOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-381-1556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "011987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "11987",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

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.

Verify at the official NPI Registry.