Active NPI
Lisa N Powell
- Prosthodontics
- Cary, NC
National Provider Identifier
1447427760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 6717
- Practice address
- 150 Preston Executive Drive
Suite 204
Cary, NC 27513 - Phone
- (919) 468-1026
- Fax
- (919) 468-1087
- NPI assigned
- May 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 6717 | NC | Primary |
Addresses
Primary practice location
150 Preston Executive Drive
Suite 204
Cary, NC 27513
Mailing address
150 Preston Executive Drive
Suite 204
Cary, NC 27513
Phone (919) 468-1026
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 |
|---|---|---|---|
| 6717 | NC | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1447427760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PRESTON EXECUTIVE DRIVE",
"address_2": "SUITE 204",
"city": "CARY",
"state": "NC",
"postal_code": "27513",
"telephone_number": "919-468-1026",
"fax_number": "919-468-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PRESTON EXECUTIVE DRIVE",
"address_2": "SUITE 204",
"city": "CARY",
"state": "NC",
"postal_code": "27513",
"telephone_number": "919-468-1026",
"fax_number": "919-468-1087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "LISA",
"middle_name": "N",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NC",
"license": "6717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.