DR. NICHOLAS BOTTORFF (NPI# 1144679903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144679903 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS BOTTORFF |
| Practice Address |
202 S Main St Ste 101 Blacksburg VA 24060-4837 |
| Mailing Address |
13817 Foggy Hills Ct Clifton VA 20124-2409 |
| Practice Telephone | 5408084500 |
| Mailing Telephone | 7039815829 |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2016-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401415243 | VA | Dental Providers |
| Street Address |
202 S MAIN ST STE 101 |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060-4837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831680172 | Real Life Seventeen | Dentist | 202 S Main St Ste 101, Blacksburg, VA 24060-4837 | 2018-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1447442637 | Matthew W Glasgow Dds PC | Dentist | 220 Progress St Ne, Blacksburg, VA 24060-7320 | 2007-08-13 |
| 1629114558 | Matthew Willis Glasgow | Dentist | 222 Progress St Ne, Blacksburg, VA 24060-7320 | 2007-01-29 |
| 1386794725 | Richard L Anthony | Dentist | 200 Professional Park Dr Se Ste 7, Blacksburg, VA 24060-6669 | 2007-01-10 |
| 1437217239 | John Keith Robertson | Dentist | 200 Washington St Se, Blacksburg, VA 24060-4838 | 2006-12-05 |
| 1326115361 | Larry Wendell Mccoy | Dentist | 907 Hethwood Blvd, Blacksburg, VA 24060-4210 | 2006-11-28 |
| 1417567850 | Maha Khan | Dentist | 250 S Main St Ste 212, Blacksburg, VA 24060-4725 | 2020-07-31 |
| 1619593902 | Elisabeth G. Combs | Dentist | 250 S Main St Ste 212, Blacksburg, VA 24060-4725 | 2020-06-22 |
| 1144870882 | Alan David Remi | Dentist | 305 W Pine St, Blacksburg, SC 29702-1549 | 2019-09-15 |
| 1205333739 | Que Nguyet Le | Dentist | 250 S Main St Ste 212, Blacksburg, VA 24060-4725 | 2018-04-11 |
| Find all providers in BLACKSBURG | ||||
| City | BLACKSBURG |
| Zip Code | 24060 |
Please comment or provide details below to improve the information on DR. NICHOLAS BOTTORFF.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.