Active NPI
Michael P Powers, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Kent, OH
National Provider Identifier
1528047479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 30018599
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135349222-00 | Other | OH | BUREAU OF WORKER'S COMP |
| 0677754 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4165 | OH | MD | Chiropractor |
| 30018599 | OH | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Case Dental Medicine Support Services, LLC. | Oral and Maxillofacial Surgery | Past | 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 | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Kent, OH
- NPI 1073759916
-
- Oral and Maxillofacial Surgery (Dentist)
- Cleveland, OH
- NPI 1104059658
-
- Oral and Maxillofacial Surgery (Dentist)
- Kent, OH
- NPI 1194919217
-
- Specialist
- Cleveland, OH
- NPI 1164615134
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.