Alexander Botwick, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS039597 Issued in PA

Practice address

10101 Academy Rd
Philadelphia, PA 19114-1120

Phone

(215) 637-5800

NPI assigned

Apr 22, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Academy Denistry Group

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1679053177
  NPD (past)

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1619311529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FRANKLIN TOWN BLVD",
            "address_2": "APT. 1508",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 ACADEMY RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141120",
            "telephone_number": "215-637-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTWICK",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Botcheos
• Katherine Deharte Botta, MD
• Katelyn Bottcher
• Bryan Andrew Botti, M.D.
• Paul Devine Bottone, M.D.
• Benchaa Boualam, MD
• Hadi Bouali
• Alixandra Boucher
• Noelle Elizabeth Boucher, PA-C
• Tamara Solange Boucher, PA-C

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.