Wayne W. Botkin, Jr. DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2444 Issued in AZ

Legal business name

WAYNE W. BOTKIN, JR. DDS, PC

Practice address

9180 E Desert Cove Dr
Suite 101
Scottsdale, AZ 85260-6254

Phone

(480) 314-2700

Fax

(480) 314-2701

NPI assigned

Aug 12, 2009

Organization subpart

No

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

Authorized official

Name

Kristi St. Ange

Title

Office Manager

Phone

(480) 314-2700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1639301468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 E DESERT COVE DR",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606254",
            "telephone_number": "480-314-2700",
            "fax_number": "480-314-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 E DESERT COVE DR",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606254",
            "telephone_number": "480-314-2700",
            "fax_number": "480-314-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE W. BOTKIN, JR. DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "ST. ANGE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-314-2700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.