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Dr. Michael J. Botty , DDS

Dentist - General Practice β€’ Fulton, NY

Active NPI 1033112412 Individual Practitioner Male Practitioner
Practice location in NPPES

633 W 3rd St S
Fulton, NY 130693100

Call 3155922400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

633 W 3rd St S

Fulton, NY 130693100

Telephone 3155922400
Fax 3155922412
Organization at the Same NPPES Address or Phone
Botty & Devito, D.d.s., L.l.p. Facility NPI 1710980198

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $27.62 in 2019

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2019.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fulton and New York

11 active clinicians are listed under Dentist - General Practice with a practice address in Fulton, NY (7,833 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fulton

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2019

Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $27.62.

Manufacturer Payment Nature Product Type Amount ($)
ESSENTIAL DENTAL SYSTEMS INCORPORATED
Gift
Cash or cash equivalent
β€” General $27.62

Source: CMS Open Payments, program year 2019, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES NY 031849

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
00461138 (NY)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. David Devito , DDS

Dentist - General Practice

NPI 1447258082

Doctor of Dental Surgery

Dr. Juan Lopez-Rosario , DMD

Dentist - General Practice

NPI 1205960564

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 633 W 3RD ST S, FULTON, NY 130693100 (Tel: 3155922400)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 633 W 3RD ST S, FULTON, NY 130693100 (Tel: 3155922400)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as MICHAEL BOTTY, D.D.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (license number reported to NPPES: NY 031849)

πŸ”„
NPI Profile Reactivated March 25, 2006

Record officially reactivated for active practice on March 25, 2006

⚠️
NPI Profile Deactivated March 17, 2006

NPPES lists this NPI as deactivated as of March 17, 2006; the reason is not published.

🟒
Initial NPI Registration & Enumeration May 31, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033112412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Other Dentist - General Practices in Fulton

All Dentist - General Practices in Fulton

Mailing Address

633 W 3rd St S

Fulton, NY 130693100

Phone: 3155922400

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.