Active NPI
Kurt Edward Bates, DENTURIST
- Denturist
- Presque Isle, ME
National Provider Identifier
1033686647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DTR5529
- Practice address
- 165 Academy St
Presque Isle, ME 04769-3170 - Phone
- (207) 764-5675
- NPI assigned
- Nov 1, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DTR5529 | ME | Primary |
Addresses
Primary practice location
165 Academy St
Presque Isle, ME 04769-3170
Mailing address
165 Academy St
Presque Isle, ME 04769-3170
Phone (207) 764-5675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DTR5529 | ME | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1033686647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 ACADEMY ST",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "047693170",
"telephone_number": "207-764-5675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 ACADEMY ST",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "047693170",
"telephone_number": "207-764-5675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "KURT",
"middle_name": "EDWARD",
"credential": "DENTURIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-01",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "ME",
"license": "DTR5529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Presque Isle, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.