Dianna L Powell

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DIANNA L POWELL

Practice address

544 E Williams St
Barstow, CA 92311-2941

Phone

(760) 256-5225

Fax

(760) 255-4647

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Dianna Lynne Powell

Title

Owner

Phone

(760) 256-5225

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Barstow Prosthetics Doing business as

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1386687655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 E WILLIAMS ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112941",
            "telephone_number": "760-256-5225",
            "fax_number": "760-255-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 E WILLIAMS ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112941",
            "telephone_number": "760-256-5225",
            "fax_number": "760-255-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANNA L POWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-256-5225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXB000070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barstow Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Barstow, CA
• Providers in Barstow, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.