Individual provider Active NPI

Margarita Potashnikova, DDS

  • Pediatric Dentistry
  • Boca Raton, FL
National Provider Identifier
1659630432
Registry record updated Jun 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN26481 Issued in FL
Practice address
20401 State Road 7
Boca Raton, FL 33498-6794
Phone
(646) 824-4006
NPI assigned
May 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0160119727 VT
Pediatric Dentistry 1223P0221X DN26481 FL Primary

Addresses

Primary practice location

20401 State Road 7
Boca Raton, FL 33498-6794

Mailing address

520 West Ave Apt 705
Miami Beach, FL 33139-6797
Phone (646) 824-4006

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

LicenseStateTypeSpecialty
DN26481FLMDPediatric Dentist
0160119727VTMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687564800000",
    "number": "1659630432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WEST AVE APT 705",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396797",
            "telephone_number": "646-824-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986794",
            "telephone_number": "646-824-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTASHNIKOVA",
        "first_name": "MARGARITA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VT",
            "license": "0160119727",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN26481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2023; 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.