Active NPI
Brett Potter DMD PLLC
- Endodontics
- Victoria, TX
National Provider Identifier
1053781039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- BRETT POTTER DMD PLLC
- Practice address
- 103 Professional Park Dr
Victoria, TX 77904-2351 - Phone
- (361) 576-1235
- NPI assigned
- Oct 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brett Potter, DMD
- Title
- Owner
- Phone
- (216) 262-8560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary |
Addresses
Primary practice location
103 Professional Park Dr
Victoria, TX 77904-2351
Mailing address
103 Professional Park Dr
Victoria, TX 77904-2351
Phone (361) 576-1235
Other names 1
- Victoria Endodontics
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443744000000",
"number": "1053781039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 PROFESSIONAL PARK DR",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042351",
"telephone_number": "361-576-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PROFESSIONAL PARK DR",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779042351",
"telephone_number": "361-576-1235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRETT POTTER DMD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-02",
"last_updated": "2015-10-02",
"status": "A",
"authorized_official_last_name": "POTTER",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-262-8560",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Victoria Endodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.