DR. STEPHEN STERLING POTTER DDS
NPI 1053505602
Dentist in Mountain Home Afb, ID

NPI Status: Active since August 28, 2007

Contact Information

90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648
Phone: (208) 828-7300

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  • Individual
  • Male
  • Dentist

About STEPHEN POTTER

This page provides the complete NPI Profile along with additional information for Stephen Potter, a provider established in Mountain Home Afb, Idaho with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1053505602 assigned on August 2007. The practitioner's primary taxonomy code is 122300000X with license number 6632604-9922 (UT). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1053505602
Provider Name
DR. STEPHEN STERLING POTTER DDS
Gender
Male
Entity Type
Individual
Location Address
90 HOPE DR BLDG 6000 MOUNTAIN HOME AFB, ID 83648
Location Phone
(208) 828-7300
Mailing Address
366 MDG 90 HOPE DRIVE MOUNTAIN HOME, IDAHO 83648
Is Sole Proprietor?
No
Enumeration Date
08-28-2007
Last Update Date
10-22-2025
Code Navigator

A dentist like Stephen Potter is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
6632604-9922
License State
UT
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

6632604-9922 (UT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1053505602OTHER (01)FEDERAL SERVICES

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053505602, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 38. The final step is to find the difference between that total and the next multiple of ten (40 - 38 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 0 + 0 + 1 + 0 + 6 + 0 + 24 = 38

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 38 is 40. The difference is the calculated check digit.

40 - 38 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1053505602.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
90 HOPE DR BLDG 6000, 366 MDSS/SGSAP
MOUNTAIN HOME AFB, ID 83648
Dental Hygienist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Psychologist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000, 366 AMDS/SGPF
MOUNTAIN HOME A F B, ID 83648
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Pharmacist
90 HOPE DR BLDG 6000, PHARMACY
MOUNTAIN HOME AFB, ID 83648
Registered Nurse (Medical-Surgical)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Military Health Care Provider
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Dentist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Dentist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Social Worker (Clinical)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Dentist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Social Worker (Clinical)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Dental Assistant
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Dental Assistant
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Dietitian, Registered (Nutrition, Pediatric)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053505602, enumerated as an "individual" on August 28, 2007.

The provider is located at 90 HOPE DR BLDG 6000 MOUNTAIN HOME AFB, ID 83648 and the phone number is (208) 828-7300.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.