Mark LM Powell DDS MSD PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MARK LM POWELL DDS MSD PC

Doing business as

Powell Orthodontics

Practice address

2076 Baldwin St
Jenison, MI 49428-8772

Phone

(616) 457-5866

NPI assigned

Mar 30, 2022

Last updated

Mar 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Breanna Chew, DDS, MSNPI 1831592344

Title

Orthodontist

Phone

(616) 457-5866

Specialties & licenses 1

Addresses

Other names 1

• Powell Orthodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Breanna Chew, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jenison, MI
  • NPI 1831592344
  NPD Authorized official
• Mark Lamarr Powell, DDS MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jenison, MI
  • NPI 1700899135
  NPD (past)

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1437899333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288772",
            "telephone_number": "616-457-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LM POWELL DDS MSD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "CHEW",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "616-457-5866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powell Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Lucas, LMSW
• Jay Allen Lugthart, M.D.
• Chase G Lunde
• Lauren Jennifer Lyon, PT, DPT
• Joshua Marion
• Sarah Kathryn Marston, PHARM.D
• Thomas Daniel Martinez, D.C.
• Nichole Mazey, DC
• Megan McCaw
• Shannon McDowell, OTR

• Orthodontics and Dentofacial Orthopedics Dentistry in Jenison, MI
• Providers in Jenison, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.