Active NPI
Steven Wayne Potter, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Crowley, TX
National Provider Identifier
1295836153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 9818
- Practice address
- 921 East FM 1187
Suite a
Crowley, TX 76036-2600 - Phone
- (817) 297-9838
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 9818 | TX | Primary |
Addresses
Primary practice location
921 East FM 1187
Suite a
Crowley, TX 76036-2600
Mailing address
921 E FM 1187
Suite a
Crowley, TX 76036-2600
Phone (817) 297-9838
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1295836153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 E FM 1187",
"address_2": "SUITE A",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760362600",
"telephone_number": "817-297-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 EAST FM 1187",
"address_2": "SUITE A",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760362600",
"telephone_number": "817-297-9838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "STEVEN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "9818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crowley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.