Individual provider Active NPI

Gabriel Potter, H.A.S

  • Audiologist-Hearing Aid Fitter
  • Xenia, OH
National Provider Identifier
1891572475
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
03483 Issued in OH
Practice address
492 W 2ND St Ste 102
Xenia, OH 45385-3770
Phone
(937) 708-8824
Fax
(937) 889-2952
NPI assigned
Sep 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 03483 OH Primary

Addresses

Primary practice location

492 W 2ND St Ste 102
Xenia, OH 45385-3770

Mailing address

492 W 2ND St Ste 102
Xenia, OH 45385-3770
Phone (937) 708-8824

Other practice location 1

1340 N Fairfield Rd
Beavercreek, OH 45432-2644
Phone (937) 708-8824

Other practice location 2

1130 Vester Ave Ste 5C
Springfield, OH 45503-7302
Phone (937) 708-8824

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

LicenseStateTypeSpecialty
03483OHMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Hearing, Inc. CurrentSince Sep 10, 2023 Accepting new patients

Locations

1130 Vester Ave
Ste 5C
Springfield, OH 45503
Phone (937) 708-8824

492 W 2nd St
Ste 102
Xenia, OH 45385
Phone (937) 708-8824

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1891572475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 W 2ND ST STE 102",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453853770",
            "telephone_number": "937-708-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 W 2ND ST STE 102",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453853770",
            "telephone_number": "937-708-8824",
            "fax_number": "937-889-2952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 N Fairfield Rd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454322644",
            "country_code": "US",
            "telephone_number": "937-708-8824",
            "fax_number": "937-889-2952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 Vester Ave Ste 5C",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455037302",
            "country_code": "US",
            "telephone_number": "937-708-8824",
            "fax_number": "937-889-2952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTER",
        "first_name": "GABRIEL",
        "name_prefix": "Mr.",
        "credential": "H.A.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "03483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

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