Anthony Potente, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

40186 Issued in CA

Practice address

4033 3Rd Ave Ste 303
San Diego, CA 92103-2117

Phone

(619) 298-2291

Fax

(619) 298-8504

NPI assigned

Jan 31, 2014

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 CA

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

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1457774192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032117",
            "telephone_number": "619-298-2291",
            "fax_number": "619-298-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032117",
            "telephone_number": "619-298-2291",
            "fax_number": "619-298-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTENTE",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-31",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "40186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Postlewait, PTA
• Eric Lee Poston, IDC
• Tyler Poston, RAC
• Rachel M Postovoit, LCSW, LISW, M.S.
• Marios Potamitis, IDC
• Potentia Family Therapy, Inc.
• Bruce Michael Potenza, MD
• Danielle Ann Poth
• Lauren Potocic
• Olivia Potok, MD

• Endodontics in San Diego, CA
• Providers in San Diego, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.