Active NPI
Brad Potter, D.D.S.
- Oral and Maxillofacial Radiology Dentistry
- Aurora, CO
National Provider Identifier
1356399836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Radiology Dentistry
- License
- 104568
- Practice address
- 1635 Ursula St
Room 5200
Aurora, CO 80010-7402 - Phone
- (720) 848-0687
- Fax
- (720) 848-0660
- NPI assigned
- May 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 104568 | CO | Primary |
Addresses
Primary practice location
1635 Ursula St
Room 5200
Aurora, CO 80010-7402
Mailing address
PO Box 6510
Mail Stop F742
Aurora, CO 80045-0510
Phone (720) 848-0689
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 |
|---|---|---|---|
| 104568 | CO | MD | Oral and Maxillofacial Radiology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1356399836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6510",
"address_2": "MAIL STOP F742",
"city": "AURORA",
"state": "CO",
"postal_code": "800450510",
"telephone_number": "720-848-0689",
"fax_number": "720-848-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 URSULA ST",
"address_2": "ROOM 5200",
"city": "AURORA",
"state": "CO",
"postal_code": "800107402",
"telephone_number": "720-848-0687",
"fax_number": "720-848-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "BRAD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0008X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": "CO",
"license": "104568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.