Powell Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

16297 Issued in TX

Legal business name

POWELL DENTAL CARE

Practice address

3681 Highway 6
Sugar Land, TX 77478-4403

Phone

(281) 302-6284

Fax

(281) 302-6213

NPI assigned

Oct 25, 2011

Last updated

Oct 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laurena D Moore, D.D.S

Title

Dentist

Phone

(280) 302-6284

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1790061505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 HIGHWAY 6",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784403",
            "telephone_number": "281-302-6284",
            "fax_number": "281-302-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 HIGHWAY 6",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784403",
            "telephone_number": "281-302-6284",
            "fax_number": "281-302-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LAURENA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "280-302-6284",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "22996",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "16297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Anderson Pottkotter, MD
• Louis Edward Pottkotter, M.D.
• Carrie Marie Pottmeyer, PA-C
• Gina Marie Potts, M.D.
• Sheba Poulose, D.O.
• Audrey Ross Powell, M.D.
• Jalen Powell
• John R Pozzi, MD
• Pooja Prabhakar
• Sobha Nair Prabhakaran

• Dental Clinic/Center in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.