DR. THOMAS VINCENT POWELL JR. DDS
NPI 1194974865
Dentist - General Practice in Evergreen Park, IL

Active since September 17, 2008PECOS Enrolled
3860 W 95TH ST, EVERGREEN PARK, IL 60805(708) 425-8880 Get Directions Write a Review

NPPES record last updated: September 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas Vincent Powell Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS VINCENT POWELL JR. DDS (NPI 1194974865) is an individual general practice provider in Evergreen Park, Illinois, licensed in Illinois (019-020090) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194974865
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS VINCENT POWELL JR.Credential: DDS
Location Address3860 W 95TH STEvergreen Park, IL 60805-2034
Mailing Address3860 West 95th StreetEvergreen Park, IL 60805 · (708) 425-8880
Sole ProprietorYes
Enumeration DateSeptember 17, 2008
NPI 1194974865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019-020090
Definition

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.

3860 W 95TH ST, Evergreen Park, IL 60805

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Thomas Vincent Powell Jr. Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3860 W 95TH ST, UNIT 6
EVERGREEN PARK, IL 60805
Audiologist
3860 W 95TH ST
EVERGREEN PARK, IL 60805
Audiologist
3860 W 95TH ST
EVERGREEN PARK, IL 60805
Audiologist
3860 W 95TH ST
EVERGREEN PARK, IL 60805
Chiropractor (Rehabilitation)
3860 W 95TH ST, UNIT 6
EVERGREEN PARK, IL 60805
Family Medicine (Adult Medicine)
3860 W 95TH ST, SUITE 6
EVERGREEN PARK, IL 60805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Powell's NPI number?

The NPI number for Thomas Powell is 1194974865. It was assigned to this individual provider in the NPPES registry on September 17, 2008.

Where is Thomas Powell located?

Thomas Powell practices at 3860 W 95th St, Evergreen Park, IL 60805. The listed phone number is (708) 425-8880.

What is Thomas Powell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Thomas Powell enrolled in Medicare?

Yes. Thomas Powell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Powell was last updated on September 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.