Mark Powalski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

041403 Issued in NY

Practice address

2197 George Urban Blvd
Depew, NY 14043-1960

Phone

(716) 683-7443

Fax

(716) 684-3597

NPI assigned

Jul 22, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Chester J. Gary, DDS and Mark D. Powalski, DDS, PC

  • Dentist
  • Depew, NY
  • NPI 1598965691
  NPD (past)

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1477960425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2197 GEORGE URBAN BLVD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2197 GEORGE URBAN BLVD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431960",
            "telephone_number": "716-683-7443",
            "fax_number": "716-684-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWALSKI",
        "first_name": "MARK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Piraino
• Sara Pivarunas
• Sarah Piwowarczyk, MS, CAS
• Christopher Kin Poon
• Caitlyn Potts
• Lori Prelewicz
• Michael James Prentice, D.C.
• Carly Presti, OTR/L
• Mark Christopher Prior, D.C. PHARM D
• Professional Oral Surgery Alliance of Upstate New York, PLLC

• General Practice Dentistry in Depew, NY
• Providers in Depew, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.