Organization Active NPI

Dentist in Powell LLC

  • General Practice Dentistry
  • Powell, OH
National Provider Identifier
1740037530
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTIST IN POWELL LLC
Practice address
4091 Powell Rd
Powell, OH 43065-7372
Phone
(803) 830-6881
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Sreekanth Reddy Emani, DDS
Title
Manager
Phone
(803) 830-6881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4091 Powell Rd
Powell, OH 43065-7372

Mailing address

1305 Knox Abbott Dr Ste 101
Cayce, SC 29033-3348
Phone (803) 233-6141

National Provider Directory

National Provider Directory

Locations

4091 Powell Rd
Powell, OH 43065

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1740037530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 KNOX ABBOTT DR STE 101",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333348",
            "telephone_number": "803-233-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 POWELL RD",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657372",
            "telephone_number": "803-830-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST IN POWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "EMANI",
        "authorized_official_first_name": "SREEKANTH",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-830-6881",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.