DR. OWEN WILLIAM POULSON D.D.S.
NPI 1720204845
Dentist - General Practice in Nevada City, CA

Active since April 17, 2007PECOS Enrolled
711 ZION STREET, NEVADA CITY, CA 95959(530) 265-2280(530) 265-5305 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Owen William Poulson D.d.s. NPPES

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

DR. OWEN WILLIAM POULSON D.D.S. (NPI 1720204845) is an individual general practice provider in Nevada City, California, licensed in California (45757) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720204845
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. OWEN WILLIAM POULSONCredential: D.D.S.
Location Address711 ZION STREETNevada City, CA 95959
Mailing Address204 Tuttle Creek BlvdManhattan, KS 66502 · (785) 560-6078 · Fax (785) 371-0133
Fax(530) 265-5305
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateOctober 21, 2022
NPPES CertifiedOctober 21, 2022
NPI 1720204845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in CA · 45757 Licensed in KS · 60866
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.
711 ZION STREET, Nevada City, CA 95959

Accepted 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)

Dr. Owen William Poulson D.d.s. 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 95959 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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 Owen Poulson's NPI number?

The NPI number for Owen Poulson is 1720204845. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Owen Poulson located?

Owen Poulson practices at 711 Zion Street, Nevada City, CA 95959. The listed phone number is (530) 265-2280.

What is Owen Poulson's specialty?

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

Is Owen Poulson enrolled in Medicare?

Yes. Owen Poulson is registered in the Medicare PECOS enrollment system.

What insurance does Owen Poulson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 16 other insurers list Owen Poulson 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 Owen Poulson was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.