Individual provider Active NPI

Emily Lauren Handtke, DDS

  • Dentist
  • Chico, CA
National Provider Identifier
1023798667
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108986 Issued in CA
Practice address
2471 Cohasset Rd
Chico, CA 95926-1315
Phone
(530) 961-9288
NPI assigned
Jul 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108986 CA Primary

Addresses

Primary practice location

2471 Cohasset Rd
Chico, CA 95926-1315

Mailing address

2471 Cohasset Rd
Chico, CA 95926-1315
Phone (530) 961-9288

Other names 1

  • Dr. Emily Lauren Hoptowit Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240923004238 CA Order and Referring Only - DentistPractitioner - Dentist 7618418211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108986CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1023798667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261315",
            "telephone_number": "530-961-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261315",
            "telephone_number": "530-961-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDTKE",
        "first_name": "EMILY",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "HOPTOWIT",
            "middle_name": "LAUREN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.