Danielle Patrice Potter-Bodenlos, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010064 Issued in MI

Practice address

6231 N Canton Center Rd
Suite 109
Canton, MI 48187-2694

Phone

(734) 455-6767

NPI assigned

Jan 21, 2013

Sex

Female

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

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

National University of Arts and Sciences, Medical Department, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert Edward Potter Jr DC PLLCGroup PAC ID 3476562059, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Robert Edward Potter Jr DC PLLC

  • Chiropractor
  • Canton, MI
  • NPI 1114919016
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1790023182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7198 FAY DR",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481111118",
            "telephone_number": "734-455-6767",
            "fax_number": "734-455-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 N CANTON CENTER RD",
            "address_2": "SUITE 109",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872694",
            "telephone_number": "734-455-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER-BODENLOS",
        "first_name": "DANIELLE",
        "middle_name": "PATRICE",
        "name_prefix": "Miss",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lynne Popek-Boeve, CTRS
• Theresa Poppe, MD
• Portable Smiles Consulting LLC
• Portable Smiles Mobile Inc
• Inez Porter, LLMSW, MSW
• Jessie L Potter, DC
• Robert Edward Potter Jr., DC
• Gerald Powell, DPT
• Joseph Carter Powers
• Dorota Poznanska-Frederick, MA, LLP

• Chiropractor in Canton, MI
• Providers in Canton, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.