DR. RICKY D. POWELL (NPI# 1457495681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457495681 |
| Entity Type | Individual |
| Full Name | DR. RICKY D. POWELL |
| Credential | DDS |
| Practice Address |
1945b Boone Villa Dr Boonville MO 65233-1987 |
| Practice Telephone | 6608826452 |
| Mailing Telephone | 6608826452 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2009-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13147 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497782106 | Ricky A Powell | Physician Assistant | 675 Old Ballas Rd Ste 100, Saint Louis, MO 63141-7083 | 2006-06-27 |
| Street Address |
1945B BOONE VILLA DR |
| City | BOONVILLE |
| State | MO |
| Zip Code | 65233-1987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788022 | Aneisa Lynn Sherrill-mattox | Social Worker | 413 E Spring Street, Boonville, MO 65233 | 2014-12-02 |
| 1427216555 | Boonville Residential LLC | Assisted Living Facility | 600 Rankin Mill Lane, Boonville, MO 65233 | 2008-05-27 |
| 1851593479 | Cooper County Ambulance District | Ambulance | 17651 B Highway, Boonville, MO 65233 | 2007-06-05 |
| 1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
| 1588697965 | Dialysis Clinic Inc. | Clinic/Center | 600 Rankin Mill Ln, Boonville, MO 65233 | 2006-07-08 |
| 1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
| 1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
| 1710477187 | Ashlyn Elizabeth Sappington | Dental Hygienist | 1115 Main St, Boonville, MO 65233 | 2018-05-11 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| Find all providers in zip 65233 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617622 | Dante J Grasso | Dentist | 602 W. Locust St., Boonville, IN 47601 | 2018-07-30 |
| 1639313752 | Ricky D. Powell, D.d.s., LLC | Dentist | 1945 Boone Villa Dr, B, Boonville, MO 65233-2050 | 2009-04-21 |
| 1487784278 | Bruce Michael Renders | Dentist | 109 Ann Street, Boonville, NY 13309 | 2007-03-07 |
| 1881771889 | Carole Ann Murphy | Dentist | 13500 Airport Rd, Boonville, CA 95415-9133 | 2006-11-01 |
| 1588740815 | Jed Marlin Inman | Dentist | 800 Office Park Dr, Boonville, IN 47601-8601 | 2006-10-30 |
| 1740298082 | Thaddeus Garrison Stumph | Dentist | 1115 Main St., Boonville, MO 65233-1743 | 2006-08-03 |
| 1811944929 | Virginia E. Dooley | Dentist | 1480 W Ashley Rd, Boonville, MO 65233-2141 | 2006-05-27 |
| 1003153354 | Warrick Park Dental | Dentist | 800 Office Park Dr, Boonville, IN 47601-8601 | 2013-01-07 |
| 1225260623 | Pon T Tath | Dentist | 13500 Airport Rd, Boonville, CA 95415-9133 | 2009-08-18 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| Find all providers in BOONVILLE | ||||
Please comment or provide details below to improve the information on DR. RICKY D. POWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.