BRIAN POTOCKI (NPI# 1194098723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194098723 |
| Entity Type | Individual |
| Full Name | BRIAN POTOCKI |
| Practice Address |
3751 N Main St Suite D Roswell NM 88201-0300 |
| Mailing Address |
530 N Telshor Blvd Suite B Las Cruces NM 88011-8243 |
| Practice Telephone | 5172814747 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2014-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2901020710 | MI | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DD4166 | NM | Dental Providers |
| Street Address |
3751 N MAIN ST SUITE D |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-0300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336497585 | Eric James Wilson | Dentist | 3751 N Main St, Suite D, Roswell, NM 88201-0300 | 2012-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699393322 | Susannah Rachel Felton | Dentist | 860 Warsaw Rd Ste 100, Roswell, GA 30075-3992 | 2020-07-09 |
| 1770076721 | Sagar Kakadia | Dentist | 1755 Woodstock Rd Ste 100, Roswell, GA 30075-2135 | 2018-06-13 |
| 1417459769 | Nm Dentistry PC | Dentist | 3900 N Main St, Roswell, NM 88201-9773 | 2018-03-02 |
| 1265984579 | Smiles of Georgia LLC | Dentist | 9410 Willeo Rd Ste A, Roswell, GA 30075-5085 | 2016-11-03 |
| 1558739599 | Ramya Subgani | Dentist | 707 1/2 N Pennsylvania Ave, Roswell, NM 88201-4853 | 2015-09-08 |
| 1265812069 | Joseph Isaac Rhodes | Dentist | 3751 N Main St Ste D, Roswell, NM 88201-0300 | 2015-06-05 |
| 1710379755 | Smilesforever LLC | Dentist | 4511 N Main St, Suit B, Roswell, NM 88201-0309 | 2015-02-27 |
| 1306184460 | Gloria Alvarez-kiely | Dentist | 355 S Atlanta St, Roswell, GA 30075-4934 | 2013-01-24 |
| 1730472184 | Familia Dental Ros LLC | Dentist | 2600 N Main St, Roswell, NM 88201-6554 | 2011-05-18 |
| 1447565148 | Herbert Outlaw Jr. | Dentist | 220 Tallwood Ter, Roswell, GA 30076-3034 | 2010-08-18 |
| Find all providers in ROSWELL | ||||
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| 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.