Amanda B Kotis, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AMANDA B KOTIS, DMD, PA

Practice address

1207 Davie Ave
Statesville, NC 28677-3511

Phone

(704) 873-4271

Fax

(704) 873-0705

NPI assigned

Aug 4, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Kotis, DDSNPI 1609007475

Title

Dentist

Phone

(704) 873-4271

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Amanda Brown Kotis, DMD

  • General Practice Dentistry
  • Statesville, NC
  • NPI 1609007475
  NPD Authorized official
• Jordan Michael Ferrage, D.D.S.

  • General Practice Dentistry
  • Statesville, NC
  • NPI 1952687865
  NPD

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1518577667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773511",
            "telephone_number": "704-873-4271",
            "fax_number": "704-873-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773511",
            "telephone_number": "704-873-4271",
            "fax_number": "704-873-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA B KOTIS, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "KOTIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-873-4271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle C Allen, LCMHCA
• Mary Kathryn Allison, PT
• Brenda Marie Alloway, PH.D., J.D.
• Elisha H Allred, RDH
• Samer Alnabhan, M.D.
• Kelly Amarante-Dutra, M.S. CCC-SLP
• Divine Ambe
• Robin West Ambrosini, MA, ED.S, LPCA, NCC
• American Renaissance School
• Priya Amin, PHARM D

• General Practice Dentistry in Statesville, NC
• Providers in Statesville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.