Amanda K. Pooler, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

00203810 Issued in CO

Practice address

1325 Dry Creek Dr Ste 304
Longmont, CO 80503-7751

Phone

(720) 763-8876

NPI assigned

Jul 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 12, 2016 through Apr 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Elmore Dentistry PLLC

  • General Practice Dentistry
  • Huntsville, TX
  • NPI 1881272896
  NPD (past)
• Sims Dentisty, PLLC

  • General Practice Dentistry
  • Huntsville, TX
  • NPI 1659687218
  NPD (past)

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1134536733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 DRY CREEK DR STE 304",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037751",
            "telephone_number": "720-763-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 DRY CREEK DR STE 304",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037751",
            "telephone_number": "720-763-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLER",
        "first_name": "AMANDA",
        "middle_name": "K.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00203810",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Anne Pomfret, M.D.
• Vanessa Lea Pomfret, REGISTERED NURSE
• Lauren Marie Pontis, AUD
• Aaron Poole, PHARMD
• Mary Bruce Poole, MD
• Katherine Cashman Porter, CRNA
• Abigail Portillo, RN
• Allison Kathleen Portillo, MA
• Melanie Potock, MA, CCC-SLP
• Douglas Kenji Potter, R.PH.

• Dentist in Longmont, CO
• Providers in Longmont, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.