Fred H Potter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FRED H POTTER, DDS

Practice address

601 S Bowie Dr
Weatherford, TX 76086-5138

Phone

(817) 594-8761

Fax

(817) 594-0028

NPI assigned

Sep 1, 2015

Organization subpart

No

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

Authorized official

Name

Beth Potter

Title

Owner

Phone

(817) 613-7775

Specialties & licenses 1

Addresses

Other names 1

• Bowie Drive Dental Care Doing business as

Locations

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1265809644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S BOWIE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865138",
            "telephone_number": "817-594-8761",
            "fax_number": "817-594-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S BOWIE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865138",
            "telephone_number": "817-594-8761",
            "fax_number": "817-594-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED H POTTER, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-613-7775"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowie Drive Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Staci Lyn Fouke, MS, OTR
• Kelsey Andrea Foutz
• Francisco a. Mateo, M.D. Inc.
• Lyndsey Franklin, LPTA
• Reid Nathaniel Frazier, DPT
• Linda Kaye Fredrikson, L.P.C.
• Fran Freed, PTA
• Chelsea Nicole Freeman, PTA
• Fresenius Medical Care Weatherford, LLC
• Frontera Medical Group LLC

• General Practice Dentistry in Weatherford, TX
• Providers in Weatherford, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.