Active NPI
Gabriel Potter, H.A.S
- Audiologist-Hearing Aid Fitter
- Xenia, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 03483
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 03483 | OH | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Hearing, Inc. | Current | 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.
-
- Hearing Instrument Specialist
- Xenia, OH
- NPI 1396443420
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.