Active NPI
Dentist in Powell LLC
- General Practice Dentistry
- Powell, OH
National Provider Identifier
1740037530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
- Last updated
- May 1, 2024
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
4091 Powell Rd
Powell, OH 43065
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Cayce, SC
- NPI 1922196096
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.