Individual provider Active NPI

Adriano Bottene, DDS

  • Dentist
  • Walnut Creek, CA
National Provider Identifier
1427159508
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42125 Issued in CA
Practice address
2021 Ygnacio Valley Rd
Suite H-201
Walnut Creek, CA 94598-3391
Phone
(925) 933-3912
Fax
(925) 933-4309
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 42125 CA Primary

Addresses

Primary practice location

2021 Ygnacio Valley Rd
Suite H-201
Walnut Creek, CA 94598-3391

Mailing address

2021 Ygnacio Valley Rd
Suite H-201
Walnut Creek, CA 94598-3391
Phone (925) 933-3912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160308000538 CA Order and Referring Only - DentistPractitioner - Dentist 9638475205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42125CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1427159508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 YGNACIO VALLEY RD",
            "address_2": "SUITE H-201",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983391",
            "telephone_number": "925-933-3912",
            "fax_number": "925-933-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 YGNACIO VALLEY RD",
            "address_2": "SUITE H-201",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983391",
            "telephone_number": "925-933-3912",
            "fax_number": "925-933-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTENE",
        "first_name": "ADRIANO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.