Andrew Bott, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4627 Issued in SC

Practice address

1585 Skylyn Dr
Spartanburg, SC 29307-1034

Phone

(864) 573-9255

Fax

(864) 585-8188

NPI assigned

Jul 14, 2009

Last updated

Jul 14, 2009By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 9, 2017 through Oct 9, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crowns Now Family Dentistry

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1265640601
  NPD (past)
• Crowns Now Greer, Inc

  • Dental Clinic/Center
  • Greer, SC
  • NPI 1972974897
  NPD (past)
• John F Dunbar Jr DMD PA

  • General Practice Dentistry
  • Spartanburg, SC
  • NPI 1346418795
  NPD (past)
• Skylyn Dental Associates LLC

  • Dental Clinic/Center
  • Spartanburg, SC
  • NPI 1063047165
  NPD (past)
• Woodruff Family Dentistry

  • General Practice Dentistry
  • Woodruff, SC
  • NPI 1710069182
  NPD (past)

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1124257969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071034",
            "telephone_number": "864-573-9255",
            "fax_number": "864-585-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071034",
            "telephone_number": "864-573-9255",
            "fax_number": "864-585-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTT",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Boswell Boone, RN, IBCLC, RLC
• Neil Borad, MD
• Danni Moss Borron, PT, DPT
• Joseph A Boscia III, MD
• Roxie D Bosier, APRN-FNP
• James G Botts, MD
• Richard Paul Boudreau, CRNA
• Lauren Boughman
• Patricia Jean Bouknight, M.D.
• Amy Lynne Boulton, P.T

• General Practice Dentistry in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.