Elleigh Jae Bates, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE61457306 Issued in WA

Practice address

3615 S Grand Blvd
Spokane, WA 99203-2624

Phone

(509) 456-8676

NPI assigned

Dec 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Kelly a. Hennessey D.D.S., PLLC

  • Dental Clinic/Center
  • Spokane, WA
  • NPI 1710634670
  NPD
• Manito Family Dentistry

  • Dental Clinic/Center
  • Spokane, WA
  • NPI 1316492671
  NPD (past)

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1265201057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 E 54TH LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992239158",
            "telephone_number": "360-244-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032624",
            "telephone_number": "509-456-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "ELLEIGH",
        "middle_name": "JAE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61457306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bates Drug Stores Inc
• Bates Drug Stores Inc.
• Bates Drug Stores, Inc.
• Bates Pharmaceutical Services
• Daniel M Bates, MD
• Heidi Denise Bates, RN
• Jacqueline Bates, CRNA
• James Tyler Bates, DO
• Leora Marlene Bates, MSW
• Steven Brady Bates, DDS

• Dentist in Spokane, WA
• Providers in Spokane, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.