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KIPLEY POWELL DDS
NPI 1205450319
Dentist - Oral and Maxillofacial Surgery in Broken Arrow, OK

Active since June 04, 2020PECOS Enrolled
4716 W URBANA ST STE 100, BROKEN ARROW, OK 74012(918) 449-5800(918) 449-5800 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Aug 17, 2020, Aug 13, 2020 and 1 more (4 updates tracked since 2020).

About Kipley Powell Dds NPPES

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

KIPLEY POWELL DDS (NPI 1205450319) is an individual oral and maxillofacial surgery provider in Broken Arrow, Oklahoma, licensed in Oklahoma (7889) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205450319
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameKIPLEY POWELLCredential: DDS
Location Address4716 W URBANA ST STE 100Broken Arrow, OK 74012-6162
Mailing Address4716 W Urbana St Ste 100Broken Arrow, OK 74012-6162 · (918) 449-5800 · Fax (918) 449-5800
Phone(918) 449-5800
Fax(918) 449-5800
Sole ProprietorNo
Enumeration DateJune 4, 2020
Last NPPES UpdateJune 16, 20264 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1205450319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OK · 7889
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 246 (OK)
4716 W URBANA ST STE 100, Broken Arrow, OK 74012
Open in Google Maps ↗

Secondary Practice Locations 2

Location 112802 E 101st Pl NOwasso, OK 74055-4662 · Phone (918) 449-5800 · Fax (918) 455-8958
Location 21331 S York StMuskogee, OK 74403-7672 · Phone (918) 449-5800 · Fax (918) 455-8958

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kipley Powell 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 74012 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 3

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

HEATH HARRIS EVANS DDS
Dentist (Oral and Maxillofacial Surgery)
4716 W URBANA ST STE 100
BROKEN ARROW, OK 74012
Tulsa County (918) 449-5800
DR. GREGORY D SEGRAVES D.D.S., M.S.
Dentist (Oral and Maxillofacial Surgery)
4716 W URBANA ST STE 100
BROKEN ARROW, OK 74012
Tulsa County (918) 449-5800
DR. CHRISTOPHER KEVIN RAY DDS
Dentist (Oral and Maxillofacial Surgery)
4716 W URBANA ST STE 100
BROKEN ARROW, OK 74012
Tulsa County (918) 449-5800

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 Kipley Powell's NPI number?

The NPI number for Kipley Powell is 1205450319. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Kipley Powell located?

Kipley Powell practices at 4716 W Urbana St Ste 100, Broken Arrow, OK 74012. The listed phone number is (918) 449-5800.

What is Kipley Powell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kipley Powell enrolled in Medicare?

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

What insurance does Kipley Powell accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Kipley Powell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kipley Powell was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.