Active NPI
Lyndsay F Bates, D.D.S., M.S.
- Pediatric Dentistry
- Saint Paul, MN
National Provider Identifier
1285958074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D13046
- Practice address
- 1021 Bandana Blvd E
Suite 121
Saint Paul, MN 55108-5113 - Phone
- (651) 224-4969
- Fax
- (651) 223-8047
- NPI assigned
- Mar 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901020159 | MI | |
| Pediatric Dentistry | 1223P0221X | D13046 | MN | Primary |
Addresses
Primary practice location
1021 Bandana Blvd E
Suite 121
Saint Paul, MN 55108-5113
Mailing address
1021 Bandana Blvd E
Suite 121
Saint Paul, MN 55108-5113
Phone (651) 224-4969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020159 | MI | MD | General Practice Dentistry |
| D13046 | MN | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1285958074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 BANDANA BLVD E",
"address_2": "SUITE 121",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551085113",
"telephone_number": "651-224-4969",
"fax_number": "651-223-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 BANDANA BLVD E",
"address_2": "SUITE 121",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551085113",
"telephone_number": "651-224-4969",
"fax_number": "651-223-8047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "LYNDSAY",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-23",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901020159",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MN",
"license": "D13046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.