JASON K POTTER MD DDS PA
NPI 1164608709
Specialist in Dallas, TX

Q: What is Jason K Potter MD Dds PA's NPI number?

The NPI number for Jason K Potter MD Dds PA is 1164608709. It was assigned to this organization in the NPPES registry on January 14, 2008.

Q: What is Jason K Potter MD Dds PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since January 14, 2008

8220 WALNUT HILL LN, SUITE 206, DALLAS, TX 75231(214) 930-6588 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jason K Potter Md Dds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON K POTTER MD DDS PA (NPI 1164608709) is a healthcare organization registered as a specialist in Dallas, Texas and active in the NPI registry since January 2008. The organization lists Jason K Potter, Owner, as its authorized official.

NPPES Registry Identity

NPI1164608709

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameJASON K POTTER MD DDS PA

Location Address8220 WALNUT HILL LN, SUITE 206Dallas, TX 75231-4427

Mailing AddressPo Box 93982Southlake, TX 76092-0119 · (214) 930-6588

Phone(214) 930-6588

Organization SubpartNo

Authorized OfficialJason K PotterOwner · (214) 930-6588

Enumeration DateJanuary 14, 2008

Last NPPES UpdateOctober 22, 2008

✔ NPI 1164608709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TX · M6345

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

8220 WALNUT HILL LN, Dallas, TX 75231

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason K Potter Md Dds Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateTexasEnrollment IDO20081103000597Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jason K Potter MD DDS PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jason Potter, M.D., D.D.S.

Plastic and Reconstructive Surgery

NPI 1467449207

8220 WALNUT HILL LN SUITE 206
Dallas, TX 75231

(214) 930-6588

✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason K Potter MD Dds PA's NPI number?

The NPI number for Jason K Potter MD Dds PA is 1164608709. It was assigned to this organization in the NPPES registry on January 14, 2008.

Where is Jason K Potter MD Dds PA located?

Jason K Potter MD Dds PA is located at 8220 Walnut Hill Ln Suite 206, Dallas, TX 75231. The listed phone number is (214) 930-6588.

What is Jason K Potter MD Dds PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jason K Potter MD Dds PA enrolled in Medicare?

Yes. Jason K Potter MD Dds PA is registered in the Medicare PECOS enrollment system.

When is Jason K Potter MD Dds PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jason K Potter MD Dds PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Jason K Potter MD Dds PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jason K Potter MD Dds PA was last updated on October 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.