Daniel J. Poticny

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13797 Issued in TX

Practice address

2630 S Carrier Pkwy
Suite B
Grand Prairie, TX 75052-5069

Phone

(972) 641-9888

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Masters Dental Services

  • General Practice Dentistry
  • Grand Prairie, TX
  • NPI 1043169956
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346257284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 S CARRIER PKWY",
            "address_2": "SUITE B",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525069",
            "telephone_number": "972-641-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 S CARRIER PKWY",
            "address_2": "SUITE B",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525069",
            "telephone_number": "972-641-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTICNY",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfort Pokoo, NP
• Lesly Ponce Barrera, MCN, RD, LD
• Portable Piccline Insertion
• Kearra Porter, COSMETOLOGIST
• Hoffmann Giovanny Posso, A.A
• Praise Pediatrics Homecare LLC
• Precious Care Home Health Inc
• Precision Primary, LLC
• Premier One Pharma Inc. (Lake Ridge Pharmacy)
• Premise Health of Texas Medical PA (Bell Grand Prairie Health Services Clinic)

• General Practice Dentistry in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.