Suzanne E Powell, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4350 Issued in SC

Practice address

119 Library St
Moncks Corner, SC 29461-3751

Phone

(843) 761-8065

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 1, 2015 through Dec 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS. Kunkle and Powell, PA

  • General Practice Dentistry
  • Moncks Corner, SC
  • NPI 1396963443
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1841496601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 LIBRARY ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613751",
            "telephone_number": "843-761-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 LIBRARY ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613751",
            "telephone_number": "843-761-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SUZANNE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX4350",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Grace Pinson, PT, DPT
• Plantation Eyecare
• Heather Davis Poole, PHARMD
• Carl R Potts, MD
• Kenyetta Vereen Powell, RN
• Elaine K. Powers, RN
• PPCP Specialty Physicians, LLC
• Samuel Newton Pratt Jr., D.M.D.
• Majesty Z Priester
• Brittany Shantel Prioleau, PHARMD

• Dentist in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.