Active NPI
Joeseph Mathew Potter, D.D.S.
- General Practice Dentistry
- Denver, CO
National Provider Identifier
1790177335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN.00202685
- Practice address
- 3145 Larimer St.
The Dental Collective
Denver, CO 80205 - Phone
- (720) 724-1630
- NPI assigned
- Feb 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 64231 | CA | |
| General Practice Dentistry | 1223G0001X | DEN.00202685 | CO | Primary |
Addresses
Primary practice location
3145 Larimer St.
The Dental Collective
Denver, CO 80205
Mailing address
3198 Blake St Apt No425
Denver, CO 80205-2387
Phone (720) 724-1630
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00202685 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potter DDS, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Denver, CO
- NPI 1639669583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1790177335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3198 BLAKE ST APT NO425",
"city": "DENVER",
"state": "CO",
"postal_code": "802052387",
"telephone_number": "720-724-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3145 LARIMER ST.",
"address_2": "THE DENTAL COLLECTIVE",
"city": "DENVER",
"state": "CO",
"postal_code": "80205",
"telephone_number": "720-724-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "JOESEPH",
"middle_name": "MATHEW",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-18",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "64231",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN.00202685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.