NPIMap

Individual provider Active NPI

Harry George Bobotis, D.M.D.

  • Endodontics
  • Greenville, SC
National Provider Identifier
1013053552
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2154 Issued in SC
Practice address
870 Cleveland St
Suite 2-B
Greenville, SC 29601-4427
Phone
(864) 233-4874
Fax
(864) 233-4868
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2154 SC Primary

Addresses

Primary practice location

870 Cleveland St
Suite 2-B
Greenville, SC 29601-4427

Mailing address

870 Cleveland St
Suite 2-B
Greenville, SC 29601-4427
Phone (864) 233-4874

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Endodontics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013053552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CLEVELAND ST",
            "address_2": "SUITE 2-B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014427",
            "telephone_number": "864-233-4874",
            "fax_number": "864-233-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CLEVELAND ST",
            "address_2": "SUITE 2-B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014427",
            "telephone_number": "864-233-4874",
            "fax_number": "864-233-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBOTIS",
        "first_name": "HARRY",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "2154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.