Jerald D. Bates, D.D.S., PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JERALD D. BATES, D.D.S., PLLC

Practice address

13515 NE 175TH St
Suite a
Woodinville, WA 98072-8566

Phone

(425) 483-1101

Fax

(425) 487-6605

NPI assigned

Jul 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jerald D. Bates, D.D.S.

Title

President/Dentist

Phone

(425) 483-1101

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1174976476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13515 NE 175TH ST",
            "address_2": "SUITE A",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728566",
            "telephone_number": "425-483-1101",
            "fax_number": "425-487-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13515 NE 175TH ST",
            "address_2": "SUITE A",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728566",
            "telephone_number": "425-483-1101",
            "fax_number": "425-487-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERALD D. BATES, D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "425-483-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Woodinville, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.