Organization Active NPI

Rodney L. Powers, DDS, Inc.

  • Dental Clinic/Center
  • Parkersburg, WV
National Provider Identifier
1770517005
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2952 Issued in WV
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

Updated by the provider on Mar 6, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89316447OtherWVTPIN CCR FED. GOV.
WV 2952OtherWVLICEN.
1245237320OtherWVTYPE I NPI
0133093-000MedicaidWV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.