Individual provider Active NPI

David J. Powell, DC

  • Chiropractor
  • Billings, MT
National Provider Identifier
1447454053
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1179 Issued in MT
Practice address
644 Grand Ave
Suite 4
Billings, MT 59101-5800
Phone
(406) 248-3218
Fax
(406) 252-0831
NPI assigned
Jun 14, 2007
Last updated
Apr 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1179 MT Primary

Addresses

Primary practice location

644 Grand Ave
Suite 4
Billings, MT 59101-5800

Mailing address

644 Grand Ave
Suite 4
Billings, MT 59101-5800
Phone (406) 248-3218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108001332 WA Practitioner - Chiropractic 2264502749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dewilde Chiropractic IncGroup PAC ID 6901898832, 3 clinicians
Chiropractic Lifestyle CenterGroup PAC ID 4688748171, 2 clinicians

Practice addresses (Care Compare)

19660 10TH Ave NE
Suite B
Poulsbo, WA 98370-6579
Phone (360) 779-7800

19740 7TH Ave NE
Suite 100
Poulsbo, WA 98370-8685

991 NE Riddell Rd
Bremerton, WA 98310-3035
Phone (360) 373-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1179MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dewilde Chiropractic Inc Chiropractor CurrentSince May 8, 2024 Accepting new patients

Locations

18657 State Highway 305 NE
Ste 4
Poulsbo, WA 98370
Phone (360) 779-7800

19045 State Highway 305 NE
Ste 203
Poulsbo, WA 98370
Phone (360) 779-7800

19660 10th Ave NE
Ste B
Poulsbo, WA 98370
Phone (360) 779-7800

19740 7th Ave NE
Ste 100
Poulsbo, WA 98370
Phone (360) 779-7800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1447454053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 GRAND AVE",
            "address_2": "SUITE 4",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591015800",
            "telephone_number": "406-248-3218",
            "fax_number": "406-252-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 GRAND AVE",
            "address_2": "SUITE 4",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591015800",
            "telephone_number": "406-248-3218",
            "fax_number": "406-252-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.