Potaraju Dental Services

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30022194 Issued in OH

Legal business name

POTARAJU DENTAL SERVICES

Practice address

2671 Cleveland Ave
Columbus, OH 43211-1647

Phone

(614) 268-8794

NPI assigned

May 5, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Satya Potaraju, DDSNPI 1366623688

Title

Dentist/Owner

Phone

(614) 268-8794

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Satya Potaraju, D.D.S

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1366623688
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1023300241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432111647",
            "telephone_number": "614-268-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432111647",
            "telephone_number": "614-268-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTARAJU DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "POTARAJU",
        "authorized_official_first_name": "SATYA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "614-268-8794",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2578750",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Louise Post, M.D.
• Leshauna M. Postell, C.N.P.
• Joshua F Posten
• Taylor Rae Postler, DDS
• Ty Patrick Poston, DO
• Satya Potaraju, D.D.S
• Tiffany Dawn Poteet, ACNP, BSN
• Potentia Counseling LLC
• Austin W. Poth, MD
• Adam S Potter, MD

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.