Stephen Potter, DDS

ActiveIndividual ProviderDentistry
NPI issued: August 28, 2007

Quick Facts

NPI Number
1053505602
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy122300000X — Dentistry
Phone
(208) 828-7300
StateID

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1053505602)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (August 28, 2007)
Data source: CMS NPPES

Provider Overview

STEPHEN POTTER, DDS is a Dentistry provider based in Mountain Home Afb, ID who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1053505602
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateAugust 28, 2007

Practice Location

CityMountain Home Afb
StateID
ZIP Code83648-1062
Phone(208) 828-7300

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code122300000X
License StateID

Mailing Address

CityMountain Home Afb
StateID
ZIP Code83648-1062
Phone(208) 828-7300
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1053505602 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1053505602for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1053505602 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Dentistryproviders →
📊
125,053
Dentistry Providers in the US

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Anthony Ewell-kollmann, DMD

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People Also Ask

What is Stephen Potter's NPI number?
Stephen Potter's NPI number is 1053505602, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Stephen Potter's NPI currently active?
Yes, Stephen Potter's NPI status is Active as of the latest CMS NPPES database updates.
What does Stephen Potter specialize in?
Stephen Potter specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 122300000X.
Where does Stephen Potter practice?
Stephen Potter practices in Mountain Home Afb, ID 83648-1062.
When was Stephen Potter's NPI issued?
Stephen Potter's NPI was issued on August 28, 2007.
What is Stephen Potter's provider type?
Stephen Potter is registered as an Individual Provider under CMS NPI Type 1.