Organization Active NPI

Chris S. Potts, D.D.S.,P.a.

  • General Practice Dentistry
  • Texarkana, TX
National Provider Identifier
1023209194
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21888 Issued in TX
Legal business name
CHRIS S. POTTS, D.D.S.,P.A.
Practice address
5489 Summerhill Rd
Texarkana, TX 75503-4608
Phone
(870) 648-5608
Fax
(903) 223-6006
NPI assigned
Aug 5, 2007
Last updated
Oct 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chris S. Potts, D.D.S., P.A.
Title
Owner/Dentist
Phone
(870) 648-5608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21888 TX Primary

Addresses

Primary practice location

5489 Summerhill Rd
Texarkana, TX 75503-4608

Mailing address

5489 Summerhill Rd
Texarkana, TX 75503-4608
Phone (903) 223-7768

Other names 1

  • The Kids Spot Dentistry Other name

National Provider Directory

National Provider Directory

Locations

5489 Summerhill Rd
Texarkana, TX 75503
Phone (501) 827-4948

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1023209194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5489 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034608",
            "telephone_number": "903-223-7768",
            "fax_number": "903-223-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5489 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034608",
            "telephone_number": "870-648-5608",
            "fax_number": "903-223-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS S. POTTS, D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "870-648-5608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.A."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Kids Spot Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.