Paul Dana Harbottle, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

045872 Issued in NY

Practice address

380 Route 202
Somers Professional Commons
Somers, NY 10589-3222

Phone

(914) 277-3518

Fax

(914) 277-1020

NPI assigned

Jan 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295871317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 TITICUS RD",
            "city": "NORTH SALEM",
            "state": "NY",
            "postal_code": "105601801",
            "telephone_number": "914-669-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 ROUTE 202",
            "address_2": "SOMERS PROFESSIONAL COMMONS",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893222",
            "telephone_number": "914-277-3518",
            "fax_number": "914-277-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBOTTLE",
        "first_name": "PAUL",
        "middle_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045872",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "009121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice B Gottlieb, M.D.
• Mario V Greco, DDS
• Michael W Greenfield, D.M.D.
• GRF Dental PLLC (Somers Smiles)
• Urmil R Gupta, MD
• Mina Harirchian, PHARM D
• Michelle A Harrison, O.D.
• Health Quest Medical Practice, PC
• Health Quest Medical Practice, PC
• Rachel Elizabeth Heese, CCC-SLP

• Dentist in Somers, NY
• Providers in Somers, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.