Active NPI
Mark Potter, D.C.
- Chiropractor
- Arlington, MA
National Provider Identifier
1386795896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 921
- Practice address
- 366 Massachusetts Ave
Suite 103
Arlington, MA 02474-6733 - Phone
- (781) 648-8500
- Fax
- (781) 648-7171
- NPI assigned
- Jan 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 921 | MA | Primary |
Addresses
Primary practice location
366 Massachusetts Ave
Suite 103
Arlington, MA 02474-6733
Mailing address
366 Massachusetts Ave
Suite 103
Arlington, MA 02474-6733
Phone (781) 648-8500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0781742 | Other | MA | AETNA |
| Y39404 | Other | MA | BCBS |
| 4404373 | Other | MA | UNITED HEALTHCARE |
| Y35709 | Other | MA | BCBS |
| 37821 | Other | MA | CIGNA |
| 275461 | Other | MA | HEALTH SOURCE |
| 715211 | Other | MA | TUFTS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1386795896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 MASSACHUSETTS AVE",
"address_2": "SUITE 103",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024746733",
"telephone_number": "781-648-8500",
"fax_number": "781-648-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 MASSACHUSETTS AVE",
"address_2": "SUITE 103",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024746733",
"telephone_number": "781-648-8500",
"fax_number": "781-648-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-13",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0781742",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y39404",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "4404373",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y35709",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "37821",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SOURCE",
"identifier": "275461",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "715211",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.