Vlad Botezatu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN03098 Issued in RI

Practice address

725 Reservoir Ave Ste 304
Cranston, RI 02910-4452

Phone

(401) 400-8868

Fax

(401) 406-2710

NPI assigned

Jul 20, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20908/brand/1/csg/1/fhir/r4

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.

• Reservoir Dental LLC

  dba Reservoir Dental

  • General Practice Dentistry
  • Cranston, RI
  • NPI 1609553759
  NPD Authorized official

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1831329200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 304",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104452",
            "telephone_number": "401-400-8868",
            "fax_number": "401-406-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 304",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104452",
            "telephone_number": "401-400-8868",
            "fax_number": "401-406-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTEZATU",
        "first_name": "VLAD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028082",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L Bone, CRNA
• James Roy Bonner, M.D.
• Silvia Maria Borges, BSW
• Suzanne S. Borstein, PHD
• Dennis D Botelho, MD
• Caitlin Bouchard, LMHC
• Joseph Bouchard, LMHC
• Kayla Bourbonniere
• Linda A. Boutilier, LICSW
• Jacklyn Bradley, PA-C

• General Practice Dentistry in Cranston, RI
• Providers in Cranston, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.