NPIMap

Organization Active NPI

Powell Dental PLLC

  • Voluntary or Charitable Agency
  • Brownstown TWP., MI
National Provider Identifier
1760199178
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
POWELL DENTAL PLLC
Practice address
19865 Allen Rd
Brownstown TWP., MI 48183
Phone
(734) 479-2200
Fax
(734) 479-2202
NPI assigned
Nov 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Lisa Irene Powell, DDSNPI 1932244837
Title
Lisa Irene Powell, As Member
Phone
(734) 649-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

19865 Allen Rd
Brownstown TWP., MI 48183

Mailing address

19865 Allen Rd
Brownstown TWP., MI 48183
Phone (734) 479-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Smilesforlife.com

National Provider Directory

National Provider Directory

Locations

19865 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-2200

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1760199178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19865 ALLEN RD",
            "city": "BROWNSTOWN TWP.",
            "state": "MI",
            "postal_code": "48183",
            "telephone_number": "734-479-2200",
            "fax_number": "734-479-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19865 ALLEN RD",
            "city": "BROWNSTOWN TWP.",
            "state": "MI",
            "postal_code": "48183",
            "telephone_number": "734-479-2200",
            "fax_number": "734-479-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "LISA IRENE POWELL, AS MEMBER",
        "authorized_official_telephone_number": "734-649-1800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Smilesforlife.com",
            "affiliation": "N",
            "address_1": "19865 Allen Rd",
            "city": "Brownstown Twp.",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownstown TWP., MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.