NPIMap

Organization Active NPI

Potach & Mitchell Dental Clinic PA

  • Dental Clinic/Center
  • Austin, MN
National Provider Identifier
1902962582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8894 Issued in MN
Legal business name
POTACH & MITCHELL DENTAL CLINIC PA
Practice address
607 1St Dr NW
Austin, MN 55912-3072
Phone
(507) 437-6312
Fax
(507) 437-4896
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kurt S Potach, DDS
Title
President
Phone
(507) 437-6312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8894 MN Primary

Addresses

Primary practice location

607 1St Dr NW
Austin, MN 55912-3072

Mailing address

607 1St Dr NW
Austin, MN 55912-3072
Phone (507) 437-6312

National Provider Directory

National Provider Directory

Locations

607 1st Dr NW
Austin, MN 55912
Phone (507) 437-6312

Practitioners & affiliated clinicians

Practitioners 4

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902962582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 1ST DR NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123072",
            "telephone_number": "507-437-6312",
            "fax_number": "507-437-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 1ST DR NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123072",
            "telephone_number": "507-437-6312",
            "fax_number": "507-437-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTACH & MITCHELL DENTAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTACH",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-437-6312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "8894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.