Individual provider Active NPI

James Harry Cottle, D.D.S.

  • Dentist
  • Westerville, OH
National Provider Identifier
1730251869
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17041 Issued in OH
Practice address
509 S Otterbein Ave
Westerville, OH 43081-2951
Phone
(614) 890-5022
Fax
(614) 890-1626
NPI assigned
Nov 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17041 OH Primary

Addresses

Primary practice location

509 S Otterbein Ave
Westerville, OH 43081-2951

Mailing address

509 S Otterbein Ave
Westerville, OH 43081-2951
Phone (614) 890-5022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213002289 OH Practitioner - Dentist 7012366206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Ohio State Dental Faculty Practice IncGroup PAC ID 5496788630, 4 clinicians

Practice addresses (Care Compare)

305 W 12TH Ave
Columbus, OH 43210-1267
Phone (614) 292-1472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17041OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio State Dental Faculty Practice Inc Dentist CurrentSince Nov 15, 2023 Accepting new patients

Locations

305 W 12th Ave
Columbus, OH 43210
Phone (614) 292-1472

Interoperability endpoints

  • Direct secure messaging: james.cottle.1@17598.direct.athenahealth.com
  • Direct secure messaging: jcottle948455@direct.osumc.edu

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730251869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S OTTERBEIN AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812951",
            "telephone_number": "614-890-5022",
            "fax_number": "614-890-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S OTTERBEIN AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812951",
            "telephone_number": "614-890-5022",
            "fax_number": "614-890-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTLE",
        "first_name": "JAMES",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "17041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.