Active NPI
Katelynn Pottorff, RDH
- Dental Hygienist
- Greeley, CO
National Provider Identifier
1467866574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2023791
- Practice address
- 1006 A St
Greeley, CO 80631-2021 - Phone
- (970) 352-0048
- Fax
- (970) 352-1120
- NPI assigned
- Jun 17, 2014
- 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 | 2023791 | CO | Primary |
Addresses
Primary practice location
1006 A St
Greeley, CO 80631-2021
Mailing address
1006 A St
Greeley, CO 80631-2021
Phone (970) 352-0048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2023791 | Other | CO | STATE LICENSE |
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 |
|---|---|---|---|
| 2023791 | CO | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Community Health | Past | Accepting new patients | |
| Sunrise Community Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Greeley, CO
- NPI 1699073395
-
- Federally Qualified Health Center (FQHC)
- Loveland, CO
- NPI 1902005382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1467866574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 A ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806312021",
"telephone_number": "970-352-0048",
"fax_number": "970-352-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 A ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806312021",
"telephone_number": "970-352-0048",
"fax_number": "970-352-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTORFF",
"first_name": "KATELYNN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-17",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "2023791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2023791",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.