GRANT ALOYSIUS POWDERLY DDS
NPI 1700627973
Dentist - General Practice in Union, MO

Q: What is Grant Powderly's NPI number?

The NPI number for Grant Powderly is 1700627973. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Q: What is Grant Powderly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Grant Powderly was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since June 03, 2024PECOS Enrolled

1780 OLD HIGHWAY 50 E, UNION, MO 63084(844) 853-8937 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Grant Aloysius Powderly Dds NPPES

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

GRANT ALOYSIUS POWDERLY DDS (NPI 1700627973) is an individual general practice provider in Union, Missouri, licensed in Missouri (2024019734) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700627973

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameGRANT ALOYSIUS POWDERLYCredential: DDS

Location Address1780 OLD HIGHWAY 50 EUnion, MO 63084-3219

Mailing Address1800 CommunityClinton, MO 64735-8804 · (844) 853-8937

Phone(844) 853-8937

Sole ProprietorNo

Enumeration DateJune 3, 2024

NPPES CertifiedJune 3, 2024

✔ NPI 1700627973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2024019734

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.

1780 OLD HIGHWAY 50 E, Union, MO 63084

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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)

Grant Aloysius Powderly 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 63084 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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 20

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

JULIANNE M MATT MD

Pediatrics