Individual provider Active NPI

Eric Lowell Batterton, DDS

  • General Practice Dentistry
  • Delaware, OH
National Provider Identifier
1043384415
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20501 Issued in OH
Practice address
494 W Central Ave
Delaware, OH 43015-1470
Phone
(740) 363-9741
Fax
(740) 369-3163
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20501 OH Primary

Addresses

Primary practice location

494 W Central Ave
Delaware, OH 43015-1470

Mailing address

460 W Central Ave
Ste F
Delaware, OH 43015-1436
Phone (740) 815-0036

Other identifiers 1

IdentifierTypeStateIssuer
0325286MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160412002888 OH Order and Referring Only - DentistPractitioner - Dentist 9133448756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20501OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1043384415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 W CENTRAL AVE",
            "address_2": "STE F",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151436",
            "telephone_number": "740-815-0036",
            "fax_number": "740-369-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 W CENTRAL AVE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151470",
            "telephone_number": "740-363-9741",
            "fax_number": "740-369-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTERTON",
        "first_name": "ERIC",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0325286",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.