Individual provider Active NPI

Michael P Powers, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Kent, OH
National Provider Identifier
1528047479
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30018599 Issued in OH
Practice address
1930 Sr 59
#E
Kent, OH 44240
Phone
(330) 678-9942
Fax
(330) 678-3365
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 30-01-8599 OH
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30018599 OH Primary

Addresses

Primary practice location

1930 Sr 59
#E
Kent, OH 44240

Mailing address

1930 Sr 59
#E
Kent, OH 44240
Phone (330) 678-9942

Other identifiers 2

IdentifierTypeStateIssuer
135349222-00OtherOHBUREAU OF WORKER'S COMP
0677754MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050916000545 OH Practitioner - Maxillofacial Surgery 0345273645 Practice locations: Kent, OH

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
University of Iowa College of Dentistry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1930 State Route 59
E
Kent, OH 44240-4112
Phone (330) 678-9942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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
4165OHMDChiropractor
30018599OHMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Case Dental Medicine Support Services, LLC. Oral and Maxillofacial Surgery PastSince Jun 27, 2021 Accepting new patients
University Oral and Facial Surgical Care, LLC Past Accepting new patients
Emilio D. Ferrara, DDS Oral and Maxillofacial Surgery Past Accepting new patients
Michael P. Powers, DDS, Ms Oral and Maxillofacial Surgery PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mpowers243044@ehrdirect.uhhospitals.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1528047479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 SR 59",
            "address_2": "#E",
            "city": "KENT",
            "state": "OH",
            "postal_code": "44240",
            "telephone_number": "330-678-9942",
            "fax_number": "330-678-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 SR 59",
            "address_2": "#E",
            "city": "KENT",
            "state": "OH",
            "postal_code": "44240",
            "telephone_number": "330-678-9942",
            "fax_number": "330-678-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "OH",
            "license": "30-01-8599",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30018599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORKER'S COMP",
            "identifier": "135349222-00",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0677754",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.