Derek John Potts, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60789 Issued in CA

Practice address

445 Rosewood Ave
Suite P
Camarillo, CA 93010-5929

Phone

(805) 388-3319

NPI assigned

Dec 12, 2012

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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 L. Potts, DDS, Inc.

  • General Practice Dentistry
  • Camarillo, CA
  • NPI 1740408004
  NPD (past)

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1922344365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 ROSEWOOD AVE",
            "address_2": "SUITE P",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105929",
            "telephone_number": "805-388-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ROSEWOOD AVE",
            "address_2": "SUITE P",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105929",
            "telephone_number": "805-388-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "DEREK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrison Pope, M.S.
• Melody Rose Pope, OTR/L
• Cristina N. Porch-Curren, M.D.
• Stephanie Porras, RBT
• Stephanie Posadas
• Nicole Power
• PPV Property Holdings LLC
• Kaytlyn Cheyenne Preitauer
• Donna Priano-English
• Nancy Gabrielle Price-Hood, D.C.,D.A.B.C.O.

• General Practice Dentistry in Camarillo, CA
• Providers in Camarillo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.