Individual provider Active NPI

Justin Lee Potts, D.C.

  • Chiropractor
  • Hamilton, MT
National Provider Identifier
1083883755
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3459 Issued in MT
Practice address
610 N 1St St Ste 4
Hamilton, MT 59840-2141
Phone
(406) 361-9232
NPI assigned
Feb 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5111 KY
Chiropractor 111N00000X 0381636348 IL
Chiropractor 111N00000X 3459 MT Primary

Addresses

Primary practice location

610 N 1St St Ste 4
Hamilton, MT 59840-2141

Mailing address

610 N 1St St Ste 4
Hamilton, MT 59840-2141
Phone (406) 361-9232

Other identifiers 1

IdentifierTypeStateIssuer
7100060710MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0381636348ILMDChiropractor
5111KYMDGeneral Practice Dentistry
3459MTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Integrated Medicine PSC Chiropractor PastSince Feb 21, 2015 Accepting new patients
Holmes Chiropractic PSC Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1083883755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N 1ST ST STE 4",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402141",
            "telephone_number": "406-361-9232",
            "fax_number": "406-403-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N 1ST ST STE 4",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402141",
            "telephone_number": "406-361-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "JUSTIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5111",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "0381636348",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "3459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100060710",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.