Individual provider Active NPI

Megan Patterson Poteat

  • Dentist
  • Cambridge, MD
National Provider Identifier
1285332742
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18116 Issued in MD
Practice address
503 Muir St Ste a
Cambridge, MD 21613-1848
Phone
(410) 228-4045
Fax
(833) 916-1011
NPI assigned
Feb 22, 2023
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18116 MD Primary

Addresses

Primary practice location

503 Muir St Ste a
Cambridge, MD 21613-1848

Mailing address

503 Muir St Ste a
Cambridge, MD 21613-1848
Phone (410) 228-4045

Other practice location 1

215 Bloomingdale Ave
Federalsburg, MD 21632-1012
Phone (410) 754-9021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20241021000269 MD Order and Referring Only - DentistPractitioner - Dentist 0042742652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18116MDMDDentist

Interoperability endpoints

  • Direct secure messaging: megan.patterson.poteat.1@20853.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1285332742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MUIR ST STE A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131848",
            "telephone_number": "410-228-4045",
            "fax_number": "833-916-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MUIR ST STE A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131848",
            "telephone_number": "410-228-4045",
            "fax_number": "833-916-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Bloomingdale Ave",
            "address_purpose": "LOCATION",
            "city": "Federalsburg",
            "state": "MD",
            "postal_code": "216321012",
            "country_code": "US",
            "telephone_number": "410-754-9021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON POTEAT",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "18116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.