Individual provider Active NPI

Hayley Michelle Botwin, DDS

  • Pediatric Dentistry
  • Culver City, CA
National Provider Identifier
1588359541
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DDS109205 Issued in CA
Practice address
6167 Bristol Pkwy Ste 106
Culver City, CA 90230-6611
Phone
(310) 329-9009
NPI assigned
Apr 6, 2023
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DDS109205 CA Primary

Addresses

Primary practice location

6167 Bristol Pkwy Ste 106
Culver City, CA 90230-6611

Mailing address

6167 Bristol Pkwy Ste 106
Culver City, CA 90230-6611
Phone (310) 329-9009

Other practice location 1

100 N First St Ste 104
Burbank, CA 91502-1845
Phone (818) 465-0250

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS109205CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ray Klein DDS Pediatric Dentistry 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.

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1588359541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6167 BRISTOL PKWY STE 106",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306611",
            "telephone_number": "310-329-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6167 BRISTOL PKWY STE 106",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306611",
            "telephone_number": "310-329-9009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N First St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915021845",
            "country_code": "US",
            "telephone_number": "818-465-0250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTWIN",
        "first_name": "HAYLEY",
        "middle_name": "MICHELLE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS109205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.