NPIMap

Organization Active NPI

Zachary L Potts DDS Incorporated

Doing business as Moorpark Center for Dentistry

  • Dentist
  • Moorpark, CA
National Provider Identifier
1063890937
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53727 Issued in CA
Legal business name
ZACHARY L POTTS DDS INCORPORATED
Doing business as
Moorpark Center for Dentistry
Practice address
4217 Tierra Rejada Rd
Moorpark, CA 93021-3772
Phone
(805) 243-3999
Fax
(805) 243-3998
NPI assigned
May 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Zachary Potts, DDSNPI 1174737357
Title
Owner
Phone
(805) 243-3999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 53727 CA Primary

Addresses

Primary practice location

4217 Tierra Rejada Rd
Moorpark, CA 93021-3772

Mailing address

4217 Tierra Rejada Rd
Moorpark, CA 93021-3772
Phone (805) 243-3999

Other names 1

  • Moorpark Center for Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4217 Tierra Rejada Rd
Moorpark, CA 93021
Phone (805) 243-3999

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1063890937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 TIERRA REJADA RD",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213772",
            "telephone_number": "805-243-3999",
            "fax_number": "805-243-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 TIERRA REJADA RD",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213772",
            "telephone_number": "805-243-3999",
            "fax_number": "805-243-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY L POTTS DDS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-243-3999",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moorpark Center for Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.