Individual provider Active NPI

Pierre Jacques Botes, DMD

  • Dentist
  • Doylestown, PA
National Provider Identifier
1124468541
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS039538 Issued in PA
Practice address
411 Hyde Park
Doylestown, PA 18902-6619
Phone
(215) 345-7700
Fax
(215) 230-4978
NPI assigned
Jun 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS039538 PA Primary

Addresses

Primary practice location

411 Hyde Park
Doylestown, PA 18902-6619

Mailing address

411 Hyde Park
Doylestown, PA 18902-6619
Phone (215) 345-7700

Other practice location 1

10 S Clinton St
suite 104
Doylestown, PA 18901-4220
Phone (215) 345-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160222001364 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6709181217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS039538PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1124468541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HYDE PARK",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189026619",
            "telephone_number": "215-345-7700",
            "fax_number": "215-230-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HYDE PARK",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189026619",
            "telephone_number": "215-345-7700",
            "fax_number": "215-230-4978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 S Clinton St",
            "address_2": "suite 104",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189014220",
            "country_code": "US",
            "telephone_number": "215-345-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTES",
        "first_name": "PIERRE",
        "middle_name": "JACQUES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-29",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.