Active NPI
Daniel William Hottenstein, MD
- Diagnostic Radiology Physician
- Lebanon, PA
National Provider Identifier
1669469532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD030101L
- Practice address
- 231 Valley Rd
Lebanon, PA 17042-8930 - Phone
- (717) 964-3423
- Fax
- (717) 964-3037
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD030101L | PA | Primary |
Addresses
Primary practice location
231 Valley Rd
Lebanon, PA 17042-8930
Mailing address
231 Valley Road
Lebanon, PA 17042-8930
Phone (717) 964-3423
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO 73508373 | Medicaid | CO | |
| 000654864 | Medicaid | PA | |
| NM 87022800 | Medicaid | NM | |
| AZ 713900 | Medicaid | AZ |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Past | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Past | Accepting new patients | |
| Quantum Imaging & Therapeutic Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Lewisberry, PA
- NPI 1609863893
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
- Clinic/Center
- Wanblee, SD
- NPI 1962559518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1669469532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 VALLEY ROAD",
"city": "LEBANON",
"state": "PA",
"postal_code": "170428930",
"telephone_number": "717-964-3423",
"fax_number": "717-964-3037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 VALLEY RD",
"city": "LEBANON",
"state": "PA",
"postal_code": "170428930",
"telephone_number": "717-964-3423",
"fax_number": "717-964-3037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOTTENSTEIN",
"first_name": "DANIEL",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD030101L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CO 73508373",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000654864",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NM 87022800",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AZ 713900",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.