NPIMap

Organization Active NPI

Ronald B Potthoff DDS

  • General Practice Dentistry
  • Kalispell, MT
National Provider Identifier
1306458377
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RONALD B POTTHOFF DDS
Practice address
195 Commons Loop Ste a
Kalispell, MT 59901-1912
Phone
(406) 755-5280
Fax
(406) 752-7679
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Kim Marrero
Title
Practice Coordinator
Phone
(406) 755-5280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

195 Commons Loop Ste a
Kalispell, MT 59901-1912

Mailing address

195 Commons Loop Ste a
Kalispell, MT 59901-1912
Phone (406) 755-5280

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1306458377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 COMMONS LOOP STE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011912",
            "telephone_number": "406-755-5280",
            "fax_number": "406-752-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COMMONS LOOP STE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011912",
            "telephone_number": "406-755-5280",
            "fax_number": "406-752-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD B POTTHOFF DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRACTICE COORDINATOR",
        "authorized_official_telephone_number": "406-755-5280"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.