NPIMap

Organization Active NPI

M. Potti DDS MSD Inc

  • Endodontics
  • Dublin, CA
National Provider Identifier
1568091833
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
M. POTTI DDS MSD INC
Practice address
6400 Village Pkwy Ste 100
Dublin, CA 94568-3007
Phone
(510) 248-2482
NPI assigned
Apr 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Dr. Madhavi Potti, DDS MSDNPI 1669560009
Title
President
Phone
(925) 248-2482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

6400 Village Pkwy Ste 100
Dublin, CA 94568-3007

Mailing address

6400 Village Pkwy Ste 100
Dublin, CA 94568-3007
Phone (510) 248-2482

National Provider Directory

National Provider Directory

Locations

6400 Village Pkwy
Ste 100
Dublin, CA 94568
Phone (510) 248-2482

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1568091833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 VILLAGE PKWY STE 100",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683007",
            "telephone_number": "510-248-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 VILLAGE PKWY STE 100",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683007",
            "telephone_number": "510-248-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. POTTI DDS MSD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "POTTI",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-248-2482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.