Donald Lawrence Potts, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-01-8542 Issued in OH

Practice address

6450 Centerville Business Pkwy
Centerville Finance, OH 45459-2633

Phone

(937) 435-9110

Fax

(937) 435-0918

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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 OH

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

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467561571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 CENTERVILLE BUSINESS PKWY",
            "city": "CENTERVILLE FINANCE",
            "state": "OH",
            "postal_code": "454592633",
            "telephone_number": "937-435-9110",
            "fax_number": "937-435-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 CENTERVILLE BUSINESS PKWY",
            "city": "CENTERVILLE FINANCE",
            "state": "OH",
            "postal_code": "454592633",
            "telephone_number": "937-435-9110",
            "fax_number": "937-435-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "DONALD",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-01-8542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vannah Ellen Nantz, D.D.S
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• Brenda Renee Palmer, DDS
• Michael Louis Pedrotti, O.D.
• Linda Whitley Reed, PHD
• Rodney Conrad Robbins, D.D.S.
• Theresa Marie Roberts, AUDIOLOGIST
• Ronald Emerson Seigla, R PH
• Rebecca A Steele, MS

• General Practice Dentistry in Centerville Finance, OH
• Providers in Centerville Finance, OH by specialty
• General Practice Dentistry in Ohio

• 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.