Individual provider Active NPI

Riley D Powers, DDS

  • Dentist
  • Portland, ME
National Provider Identifier
1679315170
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN5136 Issued in ME
Practice address
63 Preble St
Portland, ME 04101-3014
Phone
(207) 874-2141
NPI assigned
Jun 7, 2024
Last updated
Apr 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN5136 ME Primary

Addresses

Primary practice location

63 Preble St
Portland, ME 04101-3014

Mailing address

180 Park Ave
Portland, ME 04102-2957
Phone (207) 874-2141

Other practice location 1

284 Cumberland Ave
Portland, ME 04101-4927
Phone (207) 874-2141

Other practice location 2

654 Riverside St
Portland, ME 04103-1086
Phone (207) 874-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20240627002937 ME Practitioner - Dentist 0042754368 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN5136MEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Community Health Center Current Accepting new patients
Portland Community Health Center CurrentSince Jun 10, 2024 Accepting new patients
Portland Community Health Center CurrentSince Jun 10, 2024 Accepting new patients
Portland Community Health Center Past Accepting new patients
Portland Community Health Center PastSince Jan 8, 2023 Accepting new patients

Locations

180 Park Ave
Portland, ME 04102
Phone (207) 772-3703

180 Park Ave
Ste 1
Portland, ME 04102
Phone (207) 828-2101

284 Cumberland Ave
Portland, ME 04101
Phone (207) 541-6332

63 Preble St
Portland, ME 04101
Phone (207) 822-0232

654 Riverside St
Portland, ME 04103

Interoperability endpoints

  • Direct secure messaging: riley.powers.p1@direct.portlandchc.nextgenshare.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745712000000",
    "number": "1679315170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PARK AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022957",
            "telephone_number": "207-874-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PREBLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013014",
            "telephone_number": "207-874-2141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "284 Cumberland Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041014927",
            "country_code": "US",
            "telephone_number": "207-874-2141",
            "fax_number": "207-874-2164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "654 Riverside St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041031086",
            "country_code": "US",
            "telephone_number": "207-874-2141",
            "fax_number": "207-874-2164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "RILEY",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN5136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.