Madhavi Potluri, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

D7447 Issued in AZ

Practice address

4701 W Indian School Rd
Phoenix, AZ 85031-2719

Phone

(623) 245-8461

Fax

(623) 247-0444

NPI assigned

Mar 18, 2008

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

• Care for Kids of Arizona, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Phoenix, AZ
  • NPI 1922149038
  NPD (past)
• Ivy 2 Dental, PLLC

  • Pediatric Dentistry
  • Buckeye, AZ
  • NPI 1588922272
  NPD (past)
• Squaw Peak Anesthesia Inc

  • Registered Nurse
  • Tempe, AZ
  • NPI 1134352925
  NPD (past)
• Wisconsin Oral Surgery LLC

  • Oral and Maxillofacial Pathology Dentistry
  • West Allis, WI
  • NPI 1679132815
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1275704249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 EDGEWATER PL",
            "address_2": "SUITE 430",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018806201",
            "telephone_number": "781-224-0880",
            "fax_number": "781-224-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312719",
            "telephone_number": "623-245-8461",
            "fax_number": "623-247-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTLURI",
        "first_name": "MADHAVI",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelaide Cadence Pote
• Potential Zone: Pathways to Growth Inc.
• Stephanie Marie Poterack, FNP
• Jeny M. Pothen Itty, D.O
• Jerrin Thomas Pothen, MD
• Cheri M Pott, MD
• Amara Potter, COTA/L
• Clayton Potter
• Emily Ann Potter, RDN
• Laura Potter, LCPC

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.