Steven William Potter, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4559 Issued in MN

Practice address

1620 17TH St NW
Faribault, MN 55021-2839

Phone

(507) 334-7720

Fax

(507) 334-7725

NPI assigned

Dec 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Potter Chiropractic

  • Chiropractor
  • Faribault, MN
  • NPI 1972734135
  Medicare reassignment NPD Authorized official
• Therapywerks PA

  • Physical Therapist
  • Faribault, MN
  • NPI 1760455588
  NPD

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457417057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 17TH ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212839",
            "telephone_number": "507-334-7720",
            "fax_number": "507-334-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 17TH ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212839",
            "telephone_number": "507-334-7720",
            "fax_number": "507-334-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "STEVEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4559",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29088",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "967S1PO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Pollock
• Tabitha Poore, HHA
• John Henry Poppenberg
• Nathan Carl Porath, DDS
• Potter Chiropractic
• Deborah J Prelesnik, RDN
• Premier Anesthesia Services Inc
• Presence Telehealth PLLC (Compcare Urgent Care Faribault)
• Puoch Transportation, Inc
• Mary Elizabeth Purdie, OTR

• Chiropractor in Faribault, MN
• Providers in Faribault, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.