Active NPI
Stephen Powell, D.D.S., M.S.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lafayette, IN
National Provider Identifier
1811323751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 12011511A
- Practice address
- 2501 Cason St
Lafayette, IN 47904-2806 - Phone
- (765) 447-7505
- NPI assigned
- Sep 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 12011511A | IN | Primary |
Addresses
Primary practice location
2501 Cason St
Lafayette, IN 47904-2806
Mailing address
9221 Grinnell St
Indianapolis, IN 46268-1233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011511A | IN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1811323751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9221 GRINNELL ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462681233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 CASON ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042806",
"telephone_number": "765-447-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IN",
"license": "12011511A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.