Courtney Botica

Primary specialty

DentistTaxonomy code 122300000X

License

12012576A Issued in IN

Practice address

417 Ridge Rd Ste a
Munster, IN 46321-1571

Phone

(219) 836-9841

NPI assigned

Aug 3, 2016

Sex

Female

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

Enrolled in IN

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

Medicare enrollment (NPD)

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.

• Forever Family Dental of New Lenox

  • Dentist
  • New Lenox, IL
  • NPI 1871126227
  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1770036089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 RIDGE RD STE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 RIDGE RD STE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211571",
            "telephone_number": "219-836-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTICA",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012576A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Borders, OTR/L, CHT
• Rachel Ann Borkowski
• Jolie M Boros, AU.D.
• Laura Rafaela Borowiec, LMHC
• Cristina M Borsilli, NP
• Anna L Bower, APRN, PSYCHIATRY LMF
• Sparkle Box, PHARMD
• Nora Amelia Boyer, RN, FNP
• Todd Boyer, DPT
• Cailyn Boykins

• Dentist in Munster, IN
• Providers in Munster, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.