Zachary Leroy Potts, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

53727 Issued in CA

Practice address

4217 Tierra Rejada Rd.
Moorpark, CA 93021-3772

Phone

(805) 243-3999

Fax

(805) 243-3998

NPI assigned

May 9, 2007

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 CA

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

Practice roles

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.

• Zachary L Potts DDS Incorporated

  dba Moorpark Center for Dentistry

  • Dentist
  • Moorpark, CA
  • NPI 1063890937
  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1174737357",
    "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": {
        "last_name": "POTTS",
        "first_name": "ZACHARY",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Pensivy, MS APCC
• Performance Physical Therapy
• Mara Pitstick, PPS
• Albert Poghosyan, LMFT
• Devin Pope, PT, DPT
• Premier Physical Therapy & Associates Inc
• Kimberly Price, PHYSICAL THERAPIST
• Providian Healthcare LLC (Tri county healthcare)
• Nicole Pufahl
• Emily Punch

• Dentist in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.