Kayla Bateman Etman, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

S3-309 Issued in NV

Practice address

4 Sunset Way
BLDG C
Henderson, NV 89014

Phone

(702) 968-5222

NPI assigned

Oct 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Kayla Bateman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• David Chenin, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
  • NPI 1447779640
  NPD (past)
• Simister Premier Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
  • NPI 1063606580
  NPD (past)

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1124423959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 VILLAGE WALK DR APT 17305",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125758",
            "telephone_number": "412-952-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SUNSET WAY",
            "address_2": "BLDG C",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89014",
            "telephone_number": "702-968-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10730 S Eastern Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525217",
            "country_code": "US",
            "telephone_number": "702-735-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6525 N Decatur Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891312993",
            "country_code": "US",
            "telephone_number": "702-577-1941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4306 S Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891196016",
            "country_code": "US",
            "telephone_number": "702-735-4169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATEMAN ETMAN",
        "first_name": "KAYLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-309",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "BATEMAN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bassam Al Owir MD PC
• Hanna Basso
• Jennilyn Batara, PT, DPT
• Tanya Rene Batdorff
• Remedios Bateau
• Doreen Bates
• Timi Sue Bates
• Daniel E Batlan, MD, MBA
• Murat Battal
• Christopher Lee Batte, CPRC

• Orthodontics and Dentofacial Orthopedics Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.