Barry Dean Hothersall, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN11095 Issued in FL

Practice address

943 S Beneva Rd
Suite 110
Sarasota, FL 34232

Phone

(941) 365-7116

Fax

(941) 365-7116

NPI assigned

Aug 21, 2006

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1902912355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 S BENEVA RD",
            "address_2": "SUITE 110",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34232",
            "telephone_number": "941-365-7116",
            "fax_number": "941-365-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 S BENEVA RD",
            "address_2": "SUITE 110",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34232",
            "telephone_number": "941-365-7116",
            "fax_number": "941-365-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTHERSALL",
        "first_name": "BARRY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "2800",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN11095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nevenka Horvat, M. D.
• Brianne Elizabeth Horvath, AP, DOM, DIPL. AC.
• Debra A Horvath, P.T.
• Hospital Medicine Services of FL, LLC
• Hospitalist Group of Manatee County LLC
• Andrew C Hou, MD
• Patricia Lynn Hough, M.D.
• Jennifer Houghtaling, L.M.T.
• James G Houle, M.D.
• Alaina House

• Oral and Maxillofacial Surgery (Dentist) in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.