Active NPI
Jason William Powell, D.D.S.
- Dentist
- Hanover, MD
National Provider Identifier
1336289248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14739
- Practice address
- 7250 Parkway Dr
Suite 400
Hanover, MD 21076-1388 - Phone
- (410) 567-5520
- Fax
- (410) 712-4762
- NPI assigned
- Feb 8, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401410627 | VA | |
| Dentist | 122300000X | 3611 | WV | |
| Dentist | 122300000X | 14739 | MD | Primary |
Addresses
Primary practice location
7250 Parkway Dr
Suite 400
Hanover, MD 21076-1388
Mailing address
7250 Parkway Dr
Suite 400
Hanover, MD 21076-1388
Phone (410) 567-5520
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 |
|---|---|---|---|
| 14739 | MD | MD | Dentist |
| 0401410627 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1336289248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7250 PARKWAY DR",
"address_2": "SUITE 400",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761388",
"telephone_number": "410-567-5520",
"fax_number": "410-712-4762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7250 PARKWAY DR",
"address_2": "SUITE 400",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761388",
"telephone_number": "410-567-5520",
"fax_number": "410-712-4762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JASON",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401410627",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "3611",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "14739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.