Active NPI
Kristen R. Potts, RDH
- Dental Hygienist
- Haltom City, TX
National Provider Identifier
1437419264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 03689
- Practice address
- 5720 Windmere LN
Haltom City, TX 76137-2666 - Phone
- (817) 975-9446
- Fax
- (817) 887-1705
- NPI assigned
- May 27, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 03689 | TX | Primary |
Addresses
Primary practice location
5720 Windmere LN
Haltom City, TX 76137-2666
Mailing address
5720 Windmere LN
Haltom City, TX 76137-2666
Phone (817) 975-9446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE ISSUED | Other | TX | NONE ISSUED |
Other names 1
- Kris Potts
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03689 | TX | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338076800000",
"number": "1437419264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 WINDMERE LN",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761372666",
"telephone_number": "817-975-9446",
"fax_number": "817-887-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5720 WINDMERE LN",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761372666",
"telephone_number": "817-975-9446",
"fax_number": "817-887-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTS",
"first_name": "KRISTEN",
"middle_name": "R.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-27",
"last_updated": "2012-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "03689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE ISSUED",
"identifier": "NONE ISSUED",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRIS",
"last_name": "POTTS",
"credential": "RDH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Haltom City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.