Gerard Frederick Ott, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09674 Issued in MD

Practice address

1 Pitts St
Berlin, MD 21811-1127

Phone

(410) 641-3490

Fax

(410) 641-9504

NPI assigned

Mar 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haynes & Ott, P.a.

  • General Practice Dentistry
  • Berlin, MD
  • NPI 1053538496
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861510653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PITTS ST",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111127",
            "telephone_number": "410-641-3490",
            "fax_number": "410-641-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PITTS ST",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111127",
            "telephone_number": "410-641-3490",
            "fax_number": "410-641-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "GERARD",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "09674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimal Health Chiropractic P. C.
• Danielle J Orr, MD
• Adaeze Oruruo
• Kaitlyn Jones Osowiecki, LCSW-C
• Eugide Kasongo Othepa, MD
• Lydia Owens
• Georgette Paegar
• Mercy Esther Paegar, CNA, CMT
• La-Toya Sharnett Palmer-Hunter
• Deborah Susan Parker, LCPC

• General Practice Dentistry in Berlin, MD
• Providers in Berlin, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.