Active NPI
Rodney L. Powers, DDS, Inc.
- Dental Clinic/Center
- Parkersburg, WV
National Provider Identifier
1770517005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 2952
- Legal business name
- RODNEY L. POWERS, DDS, INC.
- Practice address
- 3 Rosemar Circle, Suite a
Box 4369
Parkersburg, WV 26104-4369 - Phone
- (304) 428-2058
- NPI assigned
- Jul 11, 2006
- 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
- Dr. Rodney Lee Powers, DDS
- Title
- Owner
- Phone
- (304) 428-2058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 2952 | WV | Primary |
Addresses
Primary practice location
3 Rosemar Circle, Suite a
Box 4369
Parkersburg, WV 26104-4369
Mailing address
3 Rosemar Circle, Suite a
PO Box 4369
Parkersburg, WV 26104-4369
Phone (304) 428-2058
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89316447 | Other | WV | TPIN CCR FED. GOV. |
| WV 2952 | Other | WV | LICEN. |
| 1245237320 | Other | WV | TYPE I NPI |
| 0133093-000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
3 Rosemar Cir
Ste A
Parkersburg, WV 26104
Phone (304) 428-2058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1770517005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ROSEMAR CIRCLE, SUITE A",
"address_2": "PO BOX 4369",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261044369",
"telephone_number": "304-428-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ROSEMAR CIRCLE, SUITE A",
"address_2": "BOX 4369",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261044369",
"telephone_number": "304-428-2058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RODNEY L. POWERS, DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "POWERS",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-428-2058",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "WV",
"license": "2952",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPIN CCR FED. GOV.",
"identifier": "89316447",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICEN.",
"identifier": "WV 2952",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE I NPI",
"identifier": "1245237320",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0133093-000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.