NPIMap

Organization Active NPI

Edward V. Potter, D.C., P.a.

Doing business as Edward Potter, D.C.

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1629387626
Registry record updated Sep 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4047 Issued in FL
Legal business name
EDWARD V. POTTER, D.C., P.A.
Doing business as
Edward Potter, D.C.
Practice address
3424 17TH St
Sarasota, FL 34235-8906
Phone
(941) 955-7788
Fax
(941) 365-8611
NPI assigned
Sep 25, 2010
Last updated
Sep 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2010

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

Authorized official

Name
Edward V. Potter, D.C.NPI 1770643538
Title
President
Phone
(941) 955-7788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4047 FL Primary

Addresses

Primary practice location

3424 17TH St
Sarasota, FL 34235-8906

Mailing address

3424 17TH St
Sarasota, FL 34235-8906
Phone (941) 955-7788

Other identifiers 1

IdentifierTypeStateIssuer
0501352-00MedicaidFL

Other names 1

  • Edward Potter, D.C. Doing business as

National Provider Directory

National Provider Directory

Locations

3424 17th St
Sarasota, FL 34235
Phone (941) 955-7788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285372800000",
    "number": "1629387626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 17TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342358906",
            "telephone_number": "941-955-7788",
            "fax_number": "941-365-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 17TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342358906",
            "telephone_number": "941-955-7788",
            "fax_number": "941-365-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD V. POTTER, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-25",
        "last_updated": "2010-09-25",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-955-7788",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "4047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0501352-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward Potter, D.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2010; 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.