Heddinah Otete, DENTAL GRADUATE

Primary specialty

DentistTaxonomy code 122300000X

License

0401417997 Issued in VA

Practice address

44 Greenwood St
Malden, MA 02148-2121

Phone

(404) 993-1487

NPI assigned

Jun 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1255063251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 GREENWOOD ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021482121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 GREENWOOD ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021482121",
            "telephone_number": "404-993-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTETE",
        "first_name": "HEDDINAH",
        "credential": "DENTAL GRADUATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859526",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baina Orival
• Brian Anthony Orr
• Robin Rebecca Orr
• Jesse Orton, RN
• Olatunji Anthony Osineye
• Rosalinda J Ott, MD
• Fatima Ouadaa, MA
• Outstanding Home Care Inc
• Alejandra Maria Pablos, MD
• Liana Pachot

• Dentist in Malden, MA
• Providers in Malden, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.