Jacob Daniel Potter, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12275004-1202 Issued in UT

Practice address

110 W 1325 N Ste 150
Cedar City, UT 84721-8179

Phone

(435) 867-6354

Fax

(435) 867-1472

NPI assigned

Aug 30, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• H&H Chiropractic, LLC

  • Family Medicine Physician
  • Cedar City, UT
  • NPI 1356590319

  Chiropractor

  NPD
• Mental Health and Wellness Group

  • Multi-Specialty Clinic/Center
  • Cedar City, UT
  • NPI 1801520499
  NPD

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1871378588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 1325 N STE 150",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847218179",
            "telephone_number": "435-867-6354",
            "fax_number": "435-867-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 1325 N STE 150",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847218179",
            "telephone_number": "435-867-6354",
            "fax_number": "435-867-1472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 W Tabernacle St",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847703797",
            "country_code": "US",
            "telephone_number": "435-673-2700",
            "fax_number": "435-673-2714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTER",
        "first_name": "JACOB",
        "middle_name": "DANIEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "UT",
            "license": "12275004-1202",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "UT",
            "license": "12275004-1202",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "12275004-1202",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "12275004-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayden Plewe
• James Thomas Plonowski, SSW
• Paula Plunkett
• Keara Pope
• Possibilities Counseling LLC
• Steven M Poulos, D.C.
• Trenton Poulson, DPT
• Shandra Amber Powell
• Lynette R Pratt
• Praxair Healthcare Services, Inc.

• Chiropractor in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.