Jaclyn Bates Alison, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D-0006940-C1 Issued in AL

Practice address

1973 Chandalar Dr
Pelham, AL 35124-4359

Phone

(206) 524-1600

Fax

(206) 524-1603

NPI assigned

Apr 7, 2020

Last updated

May 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jaclyn Elizabeth Bates Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jbates89962@direct.seattlechildrens.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peregrine Pacific Anesthesia PLLC

  • Anesthesiology Physician
  • Seattle, WA
  • NPI 1891065595
  NPD (past)
• Winston & Letwin DDS, PLLC

  dba Seattle Special Care Dentistry

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1669655767
  NPD (past)

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1033748348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 GARLAND DR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162435",
            "telephone_number": "205-587-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 CHANDALAR DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244359",
            "telephone_number": "206-524-1600",
            "fax_number": "206-524-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALISON",
        "first_name": "JACLYN",
        "middle_name": "BATES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D-0006940-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "BATES",
            "middle_name": "ELIZABETH",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alabama Department of Public Health (Shelby County Home Care)
• Alabama Health, LLC (Pelham Parkway Dentistry)
• Alabama Mediation and Family Solutions LLC
• Alabama Tongue-Tie Center Inc.
• Stephanie Scott Alexander
• Jessica Lauren Allen, D.C.
• American Family Care, LLC
• Alaina T Anderson
• Sarah Gabryelle Anderson, LICSW
• Annie Brigham Andrews, DO

• Dentist in Pelham, AL
• Providers in Pelham, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.