Active NPI
Frank Bottino, D.M.D
- Dentist
- Mount Kisco, NY
National Provider Identifier
1255627576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 057238-1
- Practice address
- 195 N Bedford Rd Ste 7
Mount Kisco, NY 10549-1149 - Phone
- (914) 241-5555
- NPI assigned
- Jun 24, 2011
- Last updated
- Feb 17, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 011185 | CT | |
| Dentist | 122300000X | 057238-1 | NY | Primary |
| General Practice Dentistry | 1223G0001X | 22DI02471200 | NJ |
Addresses
Primary practice location
195 N Bedford Rd Ste 7
Mount Kisco, NY 10549-1149
Mailing address
195 N Bedford Rd Ste 7
Mount Kisco, NY 10549-1149
Phone (914) 241-5555
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@mintkiscodental.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011185 | CT | MD | Dentist |
| 057238-1 | NY | MD | Dentist |
| 22DI02471200 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mint Kisco Dental P.C. | Dentist | Current | Accepting new patients |
Locations
195 N Bedford Rd
Ste 7
Mount Kisco, NY 10549
Phone (914) 241-5555
Organizations & group practices 1
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.
-
- Dentist
- Mount Kisco, NY
- NPI 1235763418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1255627576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 N BEDFORD RD STE 7",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105491149",
"telephone_number": "914-241-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 N BEDFORD RD STE 7",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105491149",
"telephone_number": "914-241-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTTINO",
"first_name": "FRANK",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-24",
"last_updated": "2021-02-17",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "011185",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "057238-1",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02471200",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@mintkiscodental.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "195 N Bedford Rd Ste 7",
"city": "Mount Kisco",
"state": "NY",
"country_code": "US",
"postal_code": "105491149",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.