Powell Family Dentistry Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

POWELL FAMILY DENTISTRY INC.

Practice address

9900 Valley Creek Rd
Suite 110
Woodbury, MN 55125-4881

Phone

(651) 501-1878

Fax

(651) 501-1698

NPI assigned

Mar 23, 2011

Organization subpart

No

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

Authorized official

Name

Richard Powell, D.D.S.NPI 1700869138

Title

Dentist

Phone

(651) 501-1878

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard R Powell, DDS

  • Dentist
  • Woodbury, MN
  • NPI 1700869138
  NPD (past) Authorized official

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1730488255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 VALLEY CREEK RD",
            "address_2": "SUITE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254881",
            "telephone_number": "651-501-1878",
            "fax_number": "651-501-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 VALLEY CREEK RD",
            "address_2": "SUITE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254881",
            "telephone_number": "651-501-1878",
            "fax_number": "651-501-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL FAMILY DENTISTRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "651-501-1878",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle A Poore, LIC SW
• Denton Wilson Porter Jr., PHARMD
• Jason Michael Porter, LPCC
• Marquel Elaine Porter
• Anne Poulsen, M.D.
• Judy A Powell, MS, LADC
• Richard R Powell, DDS
• Tyler Marie Powers, MA
• Katrin A. Pownell, CRNA
• Prairie Care

• Dentist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.