Thomas Jefferson Powers VI, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33974 Issued in CA

Practice address

160 Bovet Rd Ste 304
San Mateo, CA 94402-3138

Phone

(650) 342-1663

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861553976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BOVET RD STE 304",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023138",
            "telephone_number": "650-342-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BOVET RD STE 304",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023138",
            "telephone_number": "650-342-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "THOMAS",
        "middle_name": "JEFFERSON",
        "name_prefix": "Dr.",
        "name_suffix": "VI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Potter, PPS
• Michelle Busch Potter, LMFT
• Tiffani Ledel Poulsen, PSYD
• Angela Powell-Bulutoglu, LMFT
• Diana Crooks Powers, D.D.S.
• Milly Poz
• PPSS Health
• Mukund Jayant Prabakar, MD
• Pradeepa Selvakumar MD Inc, a California Professional Corporation
• Suneha Sakshi Prakash

• General Practice Dentistry in San Mateo, CA
• Providers in San Mateo, CA by specialty
• General Practice Dentistry in California

• 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.

Verify at the official NPI Registry.