Individual provider Active NPI

Jennifer Lynn Pottinger, D.D.S.

  • General Practice Dentistry
  • Overland Park, KS
National Provider Identifier
1508859364
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7074 Issued in KS
Practice address
6885 W 151St Street
Suite 202
Overland Park, KS 66223-4800
Phone
(913) 897-4300
Fax
(913) 897-9505
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7074 KS Primary

Addresses

Primary practice location

6885 W 151St Street
Suite 202
Overland Park, KS 66223-4800

Mailing address

6885 W 151St Street
Suite 202
Overland Park, KS 66223-4800
Phone (913) 897-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20150414001133 KS Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0941528475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1508859364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 W 151ST STREET",
            "address_2": "SUITE 202",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234800",
            "telephone_number": "913-897-4300",
            "fax_number": "913-897-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 W 151ST STREET",
            "address_2": "SUITE 202",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234800",
            "telephone_number": "913-897-4300",
            "fax_number": "913-897-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTINGER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "7074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.