Manraj S Bath, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

20162 Issued in OH

Practice address

1575 Cross Creeks Blvd
Pickerington, OH 43147-8237

Phone

(614) 751-7500

Fax

(614) 322-7900

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Bexley Jaw & Facial Surgery, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbus, OH
  • NPI 1891046678
  NPD (past)
• New Albany Jaw and Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • New Albany, OH
  • NPI 1013266295
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1124125398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 CROSS CREEKS BLVD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478237",
            "telephone_number": "614-751-7500",
            "fax_number": "614-322-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 CROSS CREEKS BLVD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478237",
            "telephone_number": "614-751-7500",
            "fax_number": "614-322-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATH",
        "first_name": "MANRAJ",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "20162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PIN NUMBER",
            "identifier": "000000358014",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaleigh Bartrum
• Amer Basmaji
• Geoffrey David Bass, MD, MBA
• Sadie Batchelor, DPT
• Melinda Kaye Bates
• Alize G Batista, B.A.
• Nichelle Battee
• Janna Lee Baugh, LPN
• Brianna Baughn
• Arika Bautista, RPH

• Oral and Maxillofacial Surgery (Dentist) in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.