Active NPI
Megan Patterson Poteat
- Dentist
- Cambridge, MD
National Provider Identifier
1285332742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18116
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241021000269 | MD | Order and Referring Only - Dentist | 0042742652 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18116 | MD | MD | Dentist |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.