Pamela A. Powell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1819 Issued in ID

Practice address

120 N 23Rd St
Boise, ID 83702-4940

Phone

(208) 344-2593

Fax

(208) 344-3993

NPI assigned

May 11, 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

Enrolled in ID

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Pamela a. Powell, DMD, PA

  • Dental Clinic/Center
  • Boise, ID
  • NPI 1144653833
  NPD (past) Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1912112004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N 23RD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024940",
            "telephone_number": "208-344-2593",
            "fax_number": "208-344-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 23RD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024940",
            "telephone_number": "208-344-2593",
            "fax_number": "208-344-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "PAMELA",
        "middle_name": "A.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002763200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah G Powell, NCTMB
• Erin R Powell, M.D.
• Jacqueline Powell, PHARMD
• Jessica Marie Bigoney Powell, MS, CCC-SLP
• Nathan Powell
• Stephanie Powell, LCPC
• Timothy A Powell
• Bonnie Lee Powers, RN
• Brian Joseph Powers, DO
• Sarah Marie Powers, LPC

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.