Active NPI
James F Otten, D.D.S.
- General Practice Dentistry
- Lawrence, KS
National Provider Identifier
1487815957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6129
- Practice address
- 930 Iowa St
Suite 1
Lawrence, KS 66044-1835 - Phone
- (785) 843-6404
- Fax
- (785) 865-5617
- NPI assigned
- Jun 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6129 | KS | Primary |
Addresses
Primary practice location
930 Iowa St
Suite 1
Lawrence, KS 66044-1835
Mailing address
930 Iowa St
Suite 1
Lawrence, KS 66044-1835
Phone (785) 843-6404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 1, 2015 through Nov 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6129 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee R. Bittenbender, M. D., P. a. | Past | Accepting new patients |
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.
-
dba Dermatology Center of Lawrence
- Dermatology Physician
- Lawrence, KS
- NPI 1770678997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1487815957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 IOWA ST",
"address_2": "SUITE 1",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441835",
"telephone_number": "785-843-6404",
"fax_number": "785-865-5617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 IOWA ST",
"address_2": "SUITE 1",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441835",
"telephone_number": "785-843-6404",
"fax_number": "785-865-5617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTEN",
"first_name": "JAMES",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-18",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "6129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.