Jason K Potter MD DDS PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

M6345 Issued in TX

Legal business name

JASON K POTTER MD DDS PA

Practice address

8220 Walnut Hill LN
Suite 206
Dallas, TX 75231-4427

Phone

(214) 930-6588

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jason K Potter, M.D., D.D.S.NPI 1467449207

Title

Owner

Phone

(214) 930-6588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason K Potter, M.D., D.D.S.

  • Specialist
  • Dallas, TX
  • NPI 1467449207
  Medicare reassignment Care Compare group NPD Authorized official
• Linda S. Kientz, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1023018736
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1164608709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93982",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920119",
            "telephone_number": "214-930-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN",
            "address_2": "SUITE 206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314427",
            "telephone_number": "214-930-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON K POTTER MD DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-930-6588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.D.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "M6345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mickayla Jasmin, DDS
• Jasmine Dental Inc
• Jasmine Tiara Jasmine Herrera-Martinez, NCC,LPC-A
• Jason a Krupp MD PC
• Jason a. Williams M.D., P.a.
• Jason Kramer LLC
• Michelle Marie Jasper, PA-C
• Cynthia Jasso, LMSW
• Daisy Marilyn Jasso, LVN
• Gabriel Jasso, PH.D

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.