Richard L. Botzbach II Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

39235 Issued in CA

Legal business name

RICHARD L. BOTZBACH II DENTAL CORPORATION

Practice address

6 B Liberty
Suite 220
Aliso Viejo, CA 92656-5835

Phone

(949) 362-9971

Fax

(949) 362-9886

NPI assigned

Mar 10, 2010

Organization subpart

No

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

Authorized official

Name

Richard Lloyd Botzbach II, D.D.S., M.S.NPI 1831200666

Title

Owner, President

Phone

(949) 362-9971

Specialties & licenses 1

Addresses

Other names 1

• Nellie Gail Orthodontics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Lloyd Botzbach II, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Aliso Viejo, CA
  • NPI 1831200666
  NPD (past) Authorized official

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1467775122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 B LIBERTY",
            "address_2": "SUITE 220",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565835",
            "telephone_number": "949-362-9971",
            "fax_number": "949-362-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 B LIBERTY",
            "address_2": "SUITE 220",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565835",
            "telephone_number": "949-362-9971",
            "fax_number": "949-362-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. BOTZBACH II DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "BOTZBACH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "949-362-9971",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "39235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nellie Gail Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reza M. Birjandi D.D.S.,a Professional Dental Corporation
• Maureen Culkin Rhyne, PH.D.
• Peter L. Rich, O. D.
• Richard Caso, M.D., Inc.
• Richard Foushee DDS Inc
• Risen Warriors Foundation
• Miriam Robb, MFT
• Ernest Boris Robinson, M.D.
• Marivic Sabino Robinson
• Kelly Rodas

• Orthodontics and Dentofacial Orthopedics Dentistry in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.