Patrick L. Battin, DDS, MA, RN

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11677 Issued in OR

Practice address

696 NE Winchester St
Roseburg, OR 97470-3260

Phone

(541) 288-1212

NPI assigned

Nov 4, 2022

Last updated

Dec 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Registered Nurse

State licenses

Practice roles

Locations

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

• Healthy Smiles

  • Dentist
  • Roseburg, OR
  • NPI 1841812864
  NPD

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1265149553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 NE WINCHESTER ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703260",
            "telephone_number": "541-288-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 NE WINCHESTER ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703260",
            "telephone_number": "541-288-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTIN",
        "first_name": "PATRICK",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS, MA, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF DENTISTRY",
            "identifier": "D11677",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derwood E Basham, D.O.
• Loren D Bassett, D.C.
• Lindsay Bateman, RDH
• Chavala Bates
• Shanai Ann Batsch, QMHA-R, CADC-R
• Sara Ann Baxter, LCSW
• Kate Bayliss, MD, PHD
• Carol Deane Beach, M.A., CCC-A
• Leah M Beattie, EPDH
• Gabrielle Jensen Beaujeu, LCSW

• General Practice Dentistry in Roseburg, OR
• Providers in Roseburg, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.