Individual provider Active NPI

William Kent Powell, D.D.S.

  • General Practice Dentistry
  • Excelsior Springs, MO
National Provider Identifier
1780680447
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12096 Issued in MO
Practice address
1911 W Jesse James Rd
Excelsior Springs, MO 64024-1805
Phone
(816) 637-6021
Fax
(816) 637-6022
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12096 MO Primary

Addresses

Primary practice location

1911 W Jesse James Rd
Excelsior Springs, MO 64024-1805

Mailing address

PO Box 474
Excelsior Springs, MO 64024-0474
Phone (816) 637-6021

Other names 1

  • W. Kent Powell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118001740 MO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0941500276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12096MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780680447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640240474",
            "telephone_number": "816-637-6021",
            "fax_number": "816-637-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 W JESSE JAMES RD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241805",
            "telephone_number": "816-637-6021",
            "fax_number": "816-637-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "WILLIAM",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W.",
            "last_name": "POWELL",
            "middle_name": "KENT",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Excelsior Springs, MO

Sources for this page

Verify at the official NPI Registry.