Active NPI
Pierre Jacques Botes, DMD
- Dentist
- Doylestown, PA
National Provider Identifier
1124468541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS039538
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160222001364 | PA | Order and Referring Only - Other (Physician) | 6709181217 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039538 | PA | MD | Dentist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.