Lisa I Powell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016087 Issued in MI

Practice address

1101 N Ann Arbor St
Saline, MI 48176-2000

Phone

(734) 429-2522

Fax

(734) 429-7055

NPI assigned

Feb 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powell Dental PLLC

  • Voluntary or Charitable Agency
  • Brownstown TWP, MI
  • NPI 1760199178
  NPD Authorized official
• Powell and Udrys DDS PC

  • Dentist
  • Saline, MI
  • NPI 1477727188
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932244837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N ANN ARBOR ST",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481762000",
            "telephone_number": "734-429-2522",
            "fax_number": "734-429-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N ANN ARBOR ST",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481762000",
            "telephone_number": "734-429-2522",
            "fax_number": "734-429-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "LISA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Thomas Poirier Jr., D.D.S.
• Sheryl A Pomerance, DDS
• Ernest Poortinga, M.D.
• Powell and Udrys DDS PC
• Kristen M Powell
• Madelyn Ann Prebola, OTR
• Quantum Physical Therapy - Pittsfield
• Qasim Qunber
• Cass Anthony Radecki, D.D.S.
• Eugenia Ramon, L.M.S.W.

• General Practice Dentistry in Saline, MI
• Providers in Saline, MI by specialty
• General Practice Dentistry in Michigan

• 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.
• 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.