Active NPI
Joel Potasznik, M.D.
- Specialist
- Mesquite, TX
National Provider Identifier
1831100437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E1233
- Practice address
- 4355 Interstate 30
Suite #101
Mesquite, TX 75150-2035 - Phone
- (214) 328-6000
- Fax
- (214) 328-1260
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | E1233 | TX | Primary |
Addresses
Primary practice location
4355 Interstate 30
Suite #101
Mesquite, TX 75150-2035
Mailing address
4355 Interstate 30
Suite #101
Mesquite, TX 75150-2035
Phone (214) 328-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098148201 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1233 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1831100437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4355 INTERSTATE 30",
"address_2": "SUITE #101",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502035",
"telephone_number": "214-328-6000",
"fax_number": "214-328-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4355 INTERSTATE 30",
"address_2": "SUITE #101",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502035",
"telephone_number": "214-328-6000",
"fax_number": "214-328-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTASZNIK",
"first_name": "JOEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "E1233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098148201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.