Active NPI
William Rogers Powell, DDS
- General Practice Dentistry
- Menomonie, WI
National Provider Identifier
1821176082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5001948G
- Practice address
- 1002 N Broadway
Menomonie, WI 54751 - Phone
- (715) 235-0909
- Fax
- (715) 235-2662
- NPI assigned
- Nov 2, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5001948G | WI | Primary |
Addresses
Primary practice location
1002 N Broadway
Menomonie, WI 54751
Mailing address
1002 N Broadway
Menomonie, WI 54751
Phone (715) 235-6116
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 |
|---|---|---|---|
| 5001948G | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821176082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 N BROADWAY",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "54751",
"telephone_number": "715-235-6116",
"fax_number": "715-235-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 N BROADWAY",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "54751",
"telephone_number": "715-235-0909",
"fax_number": "715-235-2662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "WILLIAM",
"middle_name": "ROGERS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "5001948G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menomonie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.