Michael P Potter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60477322 Issued in WA

Practice address

620 N Emerson Ave Ste 103
Wenatchee, WA 98801-6619

Phone

(509) 662-9685

NPI assigned

Apr 1, 2014

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 19, 2016 through Sep 19, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Michael P Potter DDS PLLC

  • Dentist
  • Wenatchee, WA
  • NPI 1659219087
  NPD Authorized official
• Desert Sun Dental

  • Dentist
  • Quincy, WA
  • NPI 1316492036
  NPD (past)
• Marc L. Ball DDS, PS

  • Dentist
  • Wenatchee, WA
  • NPI 1205289352
  NPD (past)

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1689092207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N EMERSON AVE STE 103",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016619",
            "telephone_number": "509-662-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N EMERSON AVE STE 103",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016619",
            "telephone_number": "509-662-9685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 F St SW",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "WA",
            "postal_code": "988481366",
            "country_code": "US",
            "telephone_number": "509-787-4531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTER",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60477322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Polley
• Abby Porter, LMHCA
• Heather W Porter, MSW, LSWAA
• Lindsey Ann Posenjak
• Amberly Potter
• Cynthia S. Potts, RPH
• Steven Poupard, PAC
• Andy K Prasad, MD
• Cristina Marie Pratt, MD
• Jeffrey Allan Pratt, MD

• All providers in Wenatchee, WA
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.