DR. ANISSA R OTTLEY DMD
NPI 1013128867
Dentist - General Practice in Milton, FL

Q: What is Anissa Ottley's NPI number?

The NPI number for Anissa Ottley is 1013128867. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Anissa Ottley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Anissa Ottley enrolled in Medicare?

No. Anissa Ottley has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Anissa Ottley was last updated on April 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2007Opted out of Medicare · through Dec 15, 2027

4272 AVALON BLVD, MILTON, FL 32583(850) 626-6100(850) 626-6100 Get Directions Write a Review

NPPES record last updated: April 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Anissa R Ottley Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANISSA R OTTLEY DMD (NPI 1013128867) is an individual general practice provider in Milton, Florida, licensed in Florida (DN15481) and active in the NPI registry since May 2007. She has opted out of Medicare through December 15, 2027.

NPPES Registry Identity

NPI1013128867

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ANISSA R OTTLEYCredential: DMD

Location Address4272 AVALON BLVDMilton, FL 32583-2808

Mailing Address4272 Avalon BlvdMilton, FL 32583-2808 · (850) 626-6100 · Fax (850) 626-6100

Phone(850) 626-6100

Fax(850) 626-6100

Sole ProprietorYes

Enumeration DateMay 24, 2007

Last NPPES UpdateApril 15, 2016

✔ NPI 1013128867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN15481

Definition

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.

4272 AVALON BLVD, Milton, FL 32583

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Anissa R Ottley Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 15, 2021 through December 15, 2027.

Opt-Out Effective DateDecember 15, 2021

Opt-Out In Effect ThroughDecember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MIKE H MARCANTONIO DMD

Dentist (General Practice)

4272 AVALON BLVD
MILTON, FL 32583

Santa Rosa County (850) 626-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anissa Ottley's NPI number?

The NPI number for Anissa Ottley is 1013128867. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Anissa Ottley located?

Anissa Ottley practices at 4272 Avalon Blvd, Milton, FL 32583. The listed phone number is (850) 626-6100.

What is Anissa Ottley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Anissa Ottley enrolled in Medicare?

No. Anissa Ottley has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Anissa Ottley accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Anissa Ottley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anissa Ottley was last updated on April 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.