Active NPI
Carole Potter
- Dental Hygienist
- Auburn, CA
National Provider Identifier
1326382706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 7455
- Practice address
- 210 Lincoln Way
Auburn, CA 95603-4336 - Phone
- (530) 885-5696
- NPI assigned
- Nov 25, 2012
- Last updated
- Nov 25, 2012
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 7455 | CA | Primary |
Addresses
Primary practice location
210 Lincoln Way
Auburn, CA 95603-4336
Mailing address
1017 Natalie CT
Auburn, CA 95603-3585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7455 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David H. Roholt, D.D.S., Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353801600000",
"number": "1326382706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 NATALIE CT",
"city": "AUBURN",
"state": "CA",
"postal_code": "956033585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 LINCOLN WAY",
"city": "AUBURN",
"state": "CA",
"postal_code": "956034336",
"telephone_number": "530-885-5696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "CAROLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-25",
"last_updated": "2012-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "7455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.