Individual provider Active NPI

Hans Werner Bottesch II, D.C.

  • Chiropractor
  • Bloomsburg, PA
National Provider Identifier
1508093774
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010201 Issued in PA
Practice address
214 Center St
Bloomsburg, PA 17815-1752
Phone
(570) 204-9302
Fax
(570) 317-2594
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010201 PA Primary
Chiropractor 111N00000X AJ010007 PA

Addresses

Primary practice location

214 Center St
Bloomsburg, PA 17815-1752

Mailing address

214 Center St
Bloomsburg, PA 17815-1752
Phone (570) 204-9302

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Tree Wellness & Counseling, LLC PastSince Mar 1, 2010 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1508093774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CENTER ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151752",
            "telephone_number": "570-204-9302",
            "fax_number": "570-317-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CENTER ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151752",
            "telephone_number": "570-204-9302",
            "fax_number": "570-317-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTESCH",
        "first_name": "HANS",
        "middle_name": "WERNER",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010201",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ010007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.