Individual provider Active NPI

Adam Rhees Bateman, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Lehi, UT
National Provider Identifier
1003826751
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4752843-9924 Issued in UT
Practice address
2961 W Maple Loop Dr
Suite 130
Lehi, UT 84043-5686
Phone
(801) 653-2929
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4752843-9924 UT Primary

Addresses

Primary practice location

2961 W Maple Loop Dr
Suite 130
Lehi, UT 84043-5686

Mailing address

2961 W Maple Loop Dr
Suite 130
Lehi, UT 84043-5686
Phone (801) 653-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20170405001126 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3274696158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1003826751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 W MAPLE LOOP DR",
            "address_2": "SUITE 130",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435686",
            "telephone_number": "801-653-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 W MAPLE LOOP DR",
            "address_2": "SUITE 130",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435686",
            "telephone_number": "801-653-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "ADAM",
        "middle_name": "RHEES",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "4752843-9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.