Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1528024064 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Richard Powell , DDS

Dentist - General Practice • Evergreen, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Powell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 24, 2006
NPI Deactivation Date March 29, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Powell, DDS was a registered Dentist - General Practice practicing in Evergreen, CO. Throughout an active medical career spanning 17 years, Dr. Powell provided care at the practice location at 28577 BUFFALO PARK RD until profile deactivation on 2023-03-29.

Practice Location & Contact Primary Location

Practice Address

28577 Buffalo Park Rd
Suite 260

Evergreen, CO 804397370

Telephone 3036747741
Fax 3036745295
Associated Practice Facility / Clinic
🏢 Buffalo Park Dentistry Facility NPI 1710410543

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Evergreen, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Evergreen, CO (2613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 2650

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Phyllis Kirk , LPC, CACIII

Counselor - Professional

NPI 1871645275

Licensed Professional Counselor, CACIII

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 29, 2023

Record deactivated on March 29, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 28577 BUFFALO PARK RD, SUITE 260, EVERGREEN, CO 804397370 (Tel: 3036747741)

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Updated Business Mailing Address July 08, 2007

Registered at 28577 BUFFALO PARK RD, SUITE 260, EVERGREEN, CO 804397370 (Tel: 3036747741)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES POWELL, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2650 in CO)

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Initial NPI Registration & Enumeration April 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528024064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2006
Last Update: July 08, 2007
Deactivation Date: March 29, 2023

Mailing Address

28577 Buffalo Park Rd, Suite 260

Evergreen, CO 804397370

Phone: 3036747741

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.