Christopher Potrykus, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6886-15 Issued in WI

Practice address

920 Indian Spring Dr
Delafield, WI 53018-2242

Phone

(262) 646-2771

NPI assigned

May 1, 2012

Last updated

May 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delafield Dental Specialists LLC

  • General Practice Dentistry
  • Delafield, WI
  • NPI 1407208002
  Authorized official Same address or phone
• Glendale Dental LLC

  • Dental Clinic/Center
  • Glendale, WI
  • NPI 1710478557
  Authorized official Same address or phone
• Wauwatosa Family Dental

  • Dental Clinic/Center
  • Wauwatosa, WI
  • NPI 1821580572
  Authorized official Same address or phone

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1033477765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 INDIAN SPRING DR",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182242",
            "telephone_number": "262-646-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 INDIAN SPRING DR",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182242",
            "telephone_number": "262-646-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTRYKUS",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6886-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perdziak Chiropractic Office, S.C.
• Mary Eva Pikus
• Sandra J Plautz, LMT
• Chelsea Poffenberger
• Maureen Ann Pohle, L.P.C.
• Prohealth Medical Group Inc
• Glenda Lynn Prom-Stanlick, LCSW
• Kimberly Pulvermacher, LCSW
• Purity Dialysis Centers Inc
• Laura Ann Rahn, MSW, LCSW

• Dentist in Delafield, WI
• Providers in Delafield, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.