DR. JEFFERY BRENT POTTER (NPI# 1467505727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467505727 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY BRENT POTTER |
| Credential | D.C. |
| Practice Address |
444 Holderrieth Blvd Ste 4 Tomball TX 77375-4553 |
| Practice Telephone | 8326982561 |
| Practice Fax Number | 8326982561 |
| Mailing Telephone | 8326982561 |
| Mailing Fax Number | 8326982561 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2018-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 9837 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AETNA PROVIDER NUMBER | 3721239 | 01 |
| TX | BCBSTX BLUE LINK ACCESS C | 1045376 | 01 |
| TX | BCBSTX PARPLAN PROVIDER # | 608091 | 01 |
| TX | BCBSTX PROVIDER NUMBER | H060809101 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869688 | Jeffery Taylor Potter II | Pharmacist | 2308 Highway 144, Owensboro, KY 42303-0175 | 2020-10-20 |
| 1851313266 | Jeffery S Potter | Emergency Medicine | 842 E Mountain Pkwy, Salyersville, KY 41465-8378 | 2006-07-24 |
| Street Address |
444 HOLDERRIETH BLVD STE 4 |
| City | TOMBALL |
| State | TX |
| Zip Code | 77375-4553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997997 | Michael Jahn | Counselor | 103 Tadpole Court, Woodlands, TX 77375 | 2018-09-26 |
| 1467943266 | Willow Creek Smiles Pllc | Clinic/Center | 9166 Farm To Market 2920 Rd, Suite 900, Tomball, TX 77375 | 2018-05-29 |
| 1962991315 | Betty Harbour | Technician | 10 Capri Bend, Tom Ball, TX 77375 | 2018-05-01 |
| 1336652353 | Juanita Dolores Paras | Occupational Therapy Assistant | 19203 Carriage Vale Ln, Tomball, TX 77375 | 2017-11-13 |
| 1215446885 | Ideal Dental of Augusta Pines Pllc | Dentist | 25760 Kuykendahl, Suite A, Tomball, TX 77375 | 2017-09-26 |
| 1285151936 | Cagney Reeves | Pharmacist | 28520 Tobmall Parkway, Tomball, TX 77375 | 2017-08-24 |
| 1710411616 | Perseverance Heatlh Innovation Ltd | Contractor | 21706 Willow Downs, Tomball, TX 77375 | 2017-04-18 |
| 1972042158 | Rite Choice Healthcare, Pllc | Dentist | 27030 Tomball Pkwy, Tomball, TX 77375 | 2017-02-21 |
| 1306398029 | Pharmcare Usa of Houston LLC | Pharmacy | 420 Chestnut Business Park Dr., Suite C, Tomball, TX 77375 | 2016-10-28 |
| 1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
| Find all providers in zip 77375 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194365346 | Kenneth Dominguez | Chiropractor | 27933 State Highway 249, Tomball, TX 77375-6415 | 2020-01-15 |
| 1376023044 | Creekside Chiropractic Pllc | Chiropractor | 25420 Kuykendahl Rd Ste C100, Tomball, TX 77375-3410 | 2018-08-21 |
| 1982182556 | Robert Brian Neuenschwander | Chiropractor | 28105 Tomball Pkwy Ste 106a, Tomball, TX 77375-6549 | 2018-08-05 |
| 1700262649 | Patrick Platzer | Chiropractor | 12407 Westlock Dr, Tomball, TX 77377-7998 | 2015-08-03 |
| 1376813998 | Dickinson Family Chiropractic, Pllc | Chiropractor | 28105 Tomball Pkwy, Suite 106a, Tomball, TX 77375-3340 | 2012-01-12 |
| 1134357148 | Abundant Life Chiropractic Pa | Chiropractor | 24911 Kuykendahl, Suite B, Tomball, TX 77375 | 2009-06-29 |
| 1154556074 | Dustin Todd Henderson | Chiropractor | 24911 Kuykendahl Rd, Suite B, Tomball, TX 77375-3295 | 2009-05-21 |
| 1306908017 | Alfred Burns Colwell | Chiropractor | 14011 Park Dr, Suit 100-k, Tomball, TX 77377-6292 | 2006-12-16 |
| 1265536775 | Rita Davis Chiropractic Center, Pllc | Chiropractor | 28427 Tomball Parkway, Tomball, TX 77375 | 2006-09-13 |
| 1447360771 | Janice Millie Gainey | Chiropractor | 9514 Fm 2920, Tomball, TX 77375 | 2006-08-30 |
| Find all providers in TOMBALL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.