Active NPI
Joe W Potter, DDS
- Dentist
- Cedar Hill, TX
National Provider Identifier
1568471233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10071
- Practice address
- 207 W Belt Line Rd
Cedar Hill, TX 75104-2066 - Phone
- (972) 291-1501
- Fax
- (972) 291-1503
- NPI assigned
- Aug 5, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 10071 | TX | Primary |
Addresses
Primary practice location
207 W Belt Line Rd
Cedar Hill, TX 75104-2066
Mailing address
815 Knoll Manor CT
Cedar Hill, TX 75104-7807
Phone (972) 291-1501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P0387 | Other | TX | BLUE CROSS AND BLUE SHIEL |
Other names 1
- Dr. Joe W Potter
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 |
|---|---|---|---|
| 10071 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568471233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 KNOLL MANOR CT",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751047807",
"telephone_number": "972-291-1501",
"fax_number": "972-291-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W BELT LINE RD",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042066",
"telephone_number": "972-291-1501",
"fax_number": "972-291-1503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "JOE",
"middle_name": "W",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "10071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "P0387",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOE",
"last_name": "POTTER",
"middle_name": "W",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Cedar Hill, TX
- Place Called Home (Residential Care)
- Planned Parenthood of Greater Texas Inc. -Cedar Hill
- Tiffany Pommier, LAC, LPC, NCC
- Steve Ponciano
- Brittany Rochelle Potter, M.D.
- Christopher Lee Pough, OTR/L, PT, DPT
- Raghavendra S Prasad, MD
- Preferred Care Solutions LLC
- Preferred Home Health Care Agency
- Preferred Imaging at the Medical Center, LTD
Sources for this page
- 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.