Individual provider Active NPI

Lee Scott Powers, DDS

  • General Practice Dentistry
  • Richland, MO
National Provider Identifier
1629058151
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
012534 Issued in MO
Practice address
122 W Est McClurg Ave.
Richland, MO 65556-7225
Phone
(573) 765-5118
Fax
(573) 765-5844
NPI assigned
Jan 19, 2006
Last updated
Jan 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 012534 MO Primary

Addresses

Primary practice location

122 W Est McClurg Ave.
Richland, MO 65556-7225

Mailing address

18277 State Road a
P.O. Box 799
Richland, MO 65556-7225
Phone (573) 765-5511

Other names 1

  • Scott Powers Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
012534MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1629058151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18277 STATE ROAD A",
            "address_2": "P.O. BOX 799",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655567225",
            "telephone_number": "573-765-5511",
            "fax_number": "573-765-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W EST MCCLURG AVE.",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655567225",
            "telephone_number": "573-765-5118",
            "fax_number": "573-765-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "LEE",
        "middle_name": "SCOTT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "012534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "POWERS",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Richland, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.