Keith Leslie Potter

Primary specialty

Music TherapistTaxonomy code 225A00000X

Practice address

4001 E Baseline Rd
Suite B2
Gilbert, AZ 85234-2726

Phone

(480) 539-5629

Fax

(480) 539-5669

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457562290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 E PALM BEACH DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494663",
            "telephone_number": "480-220-5547",
            "fax_number": "480-539-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E BASELINE RD",
            "address_2": "SUITE B2",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342726",
            "telephone_number": "480-539-5629",
            "fax_number": "480-539-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "KEITH",
        "middle_name": "LESLIE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Positive Notes
• Pospisil Dentistry of Gilbert
• Brent Leslie Pospisil, DMD
• Douglas Scott Pospisil, DMD
• Jennifer Potter
• Matthew S Potter, PHARM. D.
• Potterville Care LLC
• Logan B Potts, M.S. , BCBA
• Jenny Poulson
• Linda L Poure, LCSW

• Music Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Music Therapist in Arizona

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.