Organization Active NPI

Derik Powell DDS, PLLC

Doing business as Highwood Dental Studio

  • General Practice Dentistry
  • Great Falls, MT
National Provider Identifier
1801507538
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DERIK POWELL DDS, PLLC
Doing business as
Highwood Dental Studio
Practice address
2300 12TH Ave S Ste 109
Great Falls, MT 59405-5099
Phone
(406) 781-7217
NPI assigned
Dec 13, 2022
Last updated
Dec 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Dr. Derik Powell, DDSNPI 1578220463
Title
Owner
Phone
(406) 781-7217

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2300 12TH Ave S Ste 109
Great Falls, MT 59405-5099

Mailing address

52 Elk Dr
Great Falls, MT 59404-6424
Phone (406) 781-7217

Other practice location 1

166 Montana Ave E
Big Sandy, MT 59520-7754
Phone (406) 781-7217

Other names 1

  • Highwood Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

2300 12th Ave S
Ste 109
Great Falls, MT 59405
Phone (406) 761-1837

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1801507538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ELK DR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046424",
            "telephone_number": "406-781-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 12TH AVE S STE 109",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055099",
            "telephone_number": "406-781-7217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Montana Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Sandy",
            "state": "MT",
            "postal_code": "595207754",
            "country_code": "US",
            "telephone_number": "406-781-7217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERIK POWELL DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-781-7217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highwood Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.