Robert F Powell Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3807 Issued in SC

Practice address

3369 Pelham Rd
Greenville, SC 29615-4105

Phone

(864) 297-6365

Fax

(864) 297-9949

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Pelham Links Family Dentistry

  • General Practice Dentistry
  • Greer, SC
  • NPI 1619926128
  NPD (past)
• Pelham Links of Simpsonville, LLC

  • General Practice Dentistry
  • Greer, SC
  • NPI 1588962567
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1568580231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27143",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296162143",
            "telephone_number": "864-297-6365",
            "fax_number": "864-297-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154105",
            "telephone_number": "864-297-6365",
            "fax_number": "864-297-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ROBERT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3807",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Powdersville Smiles Dentistry, PC
• Jennifer Powell-Taschetti, CNM
• Angela Ruth Winstead Powell, PHARMD
• David Timothy Powell, M.D.
• Emily Powell, RBT
• John S Powers, MD
• Maya Mathew Powers, M.D.
• Nancy Laura Rice Powers, M.D.
• Gabriel Powles, RBT
• Zachary Kozlon Poyo

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.