Active NPI
Nathan Daniel Powell, D.D.S.
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1679910566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6508
- Practice address
- 3104 NW 23Rd St
Oklahoma City, OK 73107-1902 - Phone
- (405) 949-0123
- NPI assigned
- May 31, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6508 | OK | Primary |
Addresses
Primary practice location
3104 NW 23Rd St
Oklahoma City, OK 73107-1902
Mailing address
11316 Benttree Cir
Oklahoma City, OK 73120-6629
Phone (918) 808-0538
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6508 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1679910566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11316 BENTTREE CIR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731206629",
"telephone_number": "918-808-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 NW 23RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731071902",
"telephone_number": "405-949-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "NATHAN",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-31",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "6508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.