Riley Alston Bateman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

104175 Issued in CA

Practice address

210 San Mateo Rd Ste 104
Half Moon Bay, CA 94019-7172

Phone

(650) 726-2144

NPI assigned

Apr 21, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Sonrisas Dental Health, Inc

  • General Practice Dentistry
  • Half Moon Bay, CA
  • NPI 1447477591
  NPD (past)

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

{
    "created_epoch": "1524268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1184111445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191847",
            "telephone_number": "650-339-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SAN MATEO RD STE 104",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940197172",
            "telephone_number": "650-726-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "RILEY",
        "middle_name": "ALSTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balancenter Wellness Inc
• Marta Barensfeld
• Philippa Barr, LCSW
• Maureen Barton, OTR/L
• Gabriella Marie Orona Bateman, D.D.S., M.S.
• Debra L Baumgardner, PSYCHOLOGIST
• Carol Ann Bell, NURSE PRACTITIONER
• Angela Bolton, D.C.
• Sarah Burdge, PHD
• Cabrillo Unified School District

• Dentist in Half Moon Bay, CA
• Providers in Half Moon Bay, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.