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Dr. Jon Thaddeus Potocki , DDS

Dentist • Lexington, KY

Active NPI 1053671768 Individual Practitioner Male Practitioner
Practice location in NPPES

800 Rose St Rm D104
Lexington, KY 405360297

Call 5172819452 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

800 Rose St Rm D104

Lexington, KY 405360297

Telephone 5172819452

Open Payments general payments, program year 2025

All general payments: $206.21 across 2 records.

By nature of payment

  • Food and Beverage: $206.21 across 2 records.

Reporting-company totals

  • Solventum Corporation: $206.21 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lexington and Kentucky

141 active clinicians are listed under Dentist with a practice address in Lexington, KY (1,023 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lexington

0% of these 141 clinicians have the CMS telehealth indicator.

0.7% of these 141 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $206.21.

Manufacturer Payment Nature Product Type Amount ($)
Solventum Corporation
Food and Beverage
Cash or cash equivalent
Clarity Aligners General $106.35
Solventum Corporation
Food and Beverage
Cash or cash equivalent
APC Flash-Free Clarity ADVANCED General $99.86

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES KY 9577

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Craig Miller , DMD

Dentist - General Practice

NPI 1801996087

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
✅
NPI Profile Active March 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2017

Registered at 800 ROSE ST RM D104, LEXINGTON, KY 405360297 (Tel: 5172819452)

📍
Updated Business Mailing Address March 22, 2017

Registered at 800 ROSE ST RM D104, LEXINGTON, KY 405360297 (Tel: 5172819452)

👤
Provider Name / Credentials Updated March 22, 2017

Recorded as JON POTOCKI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2017

Dentist (license number reported to NPPES: KY 9577)

✅
NPI Profile Active May 29, 2012

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) May 29, 2012

Registered at 13053 ROEPKE RD, GREGORY, MI 481379711 (Tel: 5172819452)

📍
Business Mailing Address (Initial Record) May 29, 2012

Registered at 13053 ROEPKE RD, GREGORY, MI 481379711 (Tel: 5172819452)

👤
Provider Name / Credentials (Initial Record) May 29, 2012

Recorded as JON POTOCKI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2012

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 29, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053671768
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2012
Last Update: March 22, 2017
Sole Proprietor: No

Other Dentists in Lexington

All Dentists in Lexington

Mailing Address

800 Rose St Rm D104

Lexington, KY 405360297

Phone: 5172819452

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.