DR. BRAD POTTER (NPI# 1356399836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356399836 |
| Entity Type | Individual |
| Full Name | DR. BRAD POTTER |
| Credential | D.D.S. |
| Practice Address |
1635 Ursula St Room 5200 Aurora CO 80010-7402 |
| Mailing Address |
Po Box 6510 Mail Stop F742 Aurora CO 80045-0510 |
| Practice Telephone | 7208480687 |
| Practice Fax Number | 7208480660 |
| Mailing Telephone | 7208480689 |
| Mailing Fax Number | 7208480660 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
104568 | CO | Dental Providers |
| Street Address |
1635 URSULA ST ROOM 5200 |
| City | AURORA |
| State | CO |
| Zip Code | 80010-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508837410 | Lonnie Johnson | Dentist | 1635 Ursula St, Aurora, CO 80010-7402 | 2006-01-30 |
| 1336311273 | Ronald Olson | Audiologist | 1635 Ursula St, 6200, Aurora, CO 80045-2541 | 2008-04-01 |
| 1457523946 | Kathleen Mary Zaccaro | Audiologist | 1635 Ursula St, Department of Audiology Box 510 F736, Aurora, CO 80045-2541 | 2008-03-25 |
| 1215128251 | Stefanie S Walker | Dentist | 1635 Ursula St, 5th Floor, Aurora, CO 80045-7402 | 2007-08-06 |
| 1245449685 | Katherine Lynn Howard | Genetic Counselor, MS | 1635 Ursula St, Aurora, CO 80045-7402 | 2007-05-22 |
| 1306061395 | Dianne Lee Hawkins | Physical Therapist | 1635 Ursula St, Aurora, CO 80045-7402 | 2007-04-16 |
| 1386782423 | Kimberly Marshall | Dentist | 1635 Ursula St, Rm 5200, Aurora, CO 80045-7402 | 2007-02-01 |
| 1770630410 | Stacy Dawn Claycomb | Audiologist | 1635 Ursula St, Suite 6200, Aurora, CO 80045-2541 | 2007-01-04 |
| 1518026699 | University Physicians, Inc. | Orthopaedic Surgery | 1635 Ursula St, Box 6510, Ms F-722, Aurora, CO 80045-7402 | 2006-12-06 |
| 1588753768 | Ray Yukna | Dentist | 1635 Ursula St, Aurora, CO 80045-7402 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255991659 | Jennifer Hummer Fisher | Registered Nurse | Dawn Clinic, 1445 Dayton St, Aurora, CO 80010 | 2019-06-18 |
| 1770147662 | Lindsey Grace Torres | Counselor | 1455 Beeler Str., Aurora, CO 80010 | 2019-04-25 |
| 1700359536 | Jose Alberto Diaz Leo | Registered Nurse | 9801 East Colfax, Suite 130, Aurora, CO 80010 | 2019-01-04 |
| 1235617440 | Jose Francisco Gurruchaga | Student in an Organized Health Care Education/Training Program | 1504 Galena St., Aurora, CO 80010 | 2018-07-31 |
| 1659727907 | Nauliate Hutagalung | Case Manager/Care Coordinator | 995 Kenton St, Aurora, CO 80010 | 2016-05-05 |
| 1144626888 | Diana Hinojosa | Psychologist | 10680 Del Mar Pkwy, Aurora, CO 80010 | 2014-11-06 |
| 1487059614 | Jyoti Sapkota | Counselor | 1537 Alton St., Aurora, CO 80010 | 2014-10-30 |
| 1972925543 | Sonam Khanal | Social Worker | 1537 Alton St, Aurora, Aurora, CO 80010 | 2014-01-15 |
| 1487925665 | Ardas LLC | Clinic/Center | 10180 E Colfax Ave Ste 150, Aurora, CO 80010 | 2012-01-20 |
| 1255666376 | Smile 5 Professionals LLC | Dentist | 10401 East Colfax Ave, Aurora, CO 80010 | 2009-10-07 |
| Find all providers in zip 80010 | ||||
| Taxonomy Code | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679099352 | Debra Lee Gander | Dentist | 7447 E Berry Ave Ste 230, Greenwood Village, CO 80111-2107 | 2017-08-15 |
Please comment or provide details below to improve the information on DR. BRAD POTTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.