Vivian Botero-Nebel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI019732 Issued in NJ

Practice address

9 25 Alling Street
Dental Health Associates PA
Newark, NJ 07102

Phone

(973) 297-1550

Fax

(973) 297-1554

NPI assigned

Oct 5, 2006

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 NY

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.

• Dental Sleep Solutions LLC

  • Customized Equipment (DME)
  • Staten Island, NY
  • NPI 1881251544
  NPD (past) Authorized official
• Dental Health Associates PA

  • General Practice Dentistry
  • Newark, NJ
  • NPI 1336228113
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1801983697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SOUTH MAIN STREET",
            "address_2": "DENTAL HEALTH ASSOCIATES PA CORPORATE OFFICE 2ND FLR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "08865",
            "telephone_number": "908-387-6120",
            "fax_number": "908-387-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 25 ALLING STREET",
            "address_2": "DENTAL HEALTH ASSOCIATES PA",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-297-1550",
            "fax_number": "973-297-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTERO-NEBEL",
        "first_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI019732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Joseph Borris, APN
• Garrett James Bortiatynski, MD
• Christy Sue Borud, NP
• Taylor Joan Bostonian, MD
• Andrei Botea, M.D.
• Afraim Botros, RPH
• Abbas Boukheir, DMD
• Whitney Chairce Boursiquot
• Boutique Counseling (Elevated Therapeutics)
• Chifaa Bouzidi, M.D.

• General Practice Dentistry in Newark, NJ
• Providers in Newark, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.