William Potter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401413237 Issued in VA

Practice address

900 Gardens Blvd
Suite 600
Charlottesville, VA 22901-1469

Phone

(434) 984-3455

Fax

(434) 973-4874

NPI assigned

Jun 15, 2011

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 VA

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.

• Aesthetic Dentistry of Charlottesville, P.C.

  • Dentist
  • Charlottesville, VA
  • NPI 1700929395
  NPD (past)

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1942595285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7803 HILLVIEW AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295809",
            "telephone_number": "540-816-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GARDENS BLVD",
            "address_2": "SUITE 600",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011469",
            "telephone_number": "434-984-3455",
            "fax_number": "434-973-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy E. Potter, F.N.P.
• Brynne Potter, CPM
• Jennifer V. Potter, M.D.
• Michael Quinn Potter, MD
• Priscilla F Potter, MD, PHD
• Kara L Potts, NP
• Shirin Pourafshar, PHD, MSCR, RDN
• Luke P Poveromo, MD
• Anissa Powell
• Caitlin Paige Powell

• Dentist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.