Pamela Otto I, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

08528 Issued in MD

Practice address

1407 York Rd
Suite212
Lutherville, MD 21093-6097

Phone

(410) 337-8200

Fax

(410) 337-9026

NPI assigned

Jul 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1063820322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 YORK RD",
            "address_2": "SUITE212",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936097",
            "telephone_number": "410-337-8200",
            "fax_number": "410-337-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 YORK RD",
            "address_2": "SUITE212",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936097",
            "telephone_number": "410-337-8200",
            "fax_number": "410-337-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "PAMELA",
        "name_suffix": "I",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "08528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Ann Orbach, PHYSICIAN ASSISTANT
• Paul Ortiz, PHARM.D.
• Eden Danielle Orzech, PTA
• Rinas Osman, MD
• Melissa Ott
• Outside the Lines Counseling LLC
• Olga M P. Rossello, M.D.
• Joseph T Pallan, MD
• Nicholette Panas
• Lisa Panitz, F.N.P.

• Dentist in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.