David Edmund Potter, D.O.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

G8347 Issued in TX

Practice address

2101 FM 369 N
Iowa Park, TX 76367-6568

Phone

(940) 855-7477

NPI assigned

Dec 13, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1639472632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 WILLOW BEND DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101023",
            "telephone_number": "940-696-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FM 369 N",
            "city": "IOWA PARK",
            "state": "TX",
            "postal_code": "763676568",
            "telephone_number": "940-855-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "DAVID",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8347",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "G8347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nexion Health at Iowa Park, Inc.
• Pablo Cortez Teveni, MD PA
• Laura Maye Palmer, CPHT
• Park Clinic PA
• Jacie Makaye Payton
• Kelley Jean Pruitt, CNS, FNP
• Lauren Michelle Rains, D.C.
• Robin Denise Roberts, RN
• Barbara Joan Sampley
• Kristy Dean Shook, CPHT

• Health Maintenance Organization in Iowa Park, TX
• Providers in Iowa Park, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.