Dyllin Bates

Key facts

NPI

1336600485

Entity type

Individual (NPI type 1)

Primary specialty

Specialist 174400000X

Practice address

9 Vose Farm Rd Ste 120
Peterborough, NH 03458-2154

Phone

(603) 283-1570

Fax

(603) 357-9648

NPI assigned

Mar 29, 2019

Sex

Male

Sole proprietor

No

Organizations & group practices 1

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.

• Monadnock Family Services Community/Behavioral Health Agency · Keene, NH · NPI 1649331224
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 29, 2019.

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1336600485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MAIN ST FL 2",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313701",
            "telephone_number": "603-283-1570",
            "fax_number": "603-357-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 VOSE FARM RD STE 120",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034582154",
            "telephone_number": "603-283-1570",
            "fax_number": "603-357-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "DYLLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

• Aaron C Bard, DC
• Heather Bodiford Bartels, MD
• Ildiko Farkas Bartlett, L.M.T.
• Lynn W Batchelder, APRN
• Amy Bates
• Laura B. Bedard, MS LMHC
• Begin Again Counseling Services, PLLC
• Maria T. Bemont, PT
• Siobhan K Benham, APRN
• Nancy Grant Bennett, OTR

All providers in Peterborough, NH · Specialist in New Hampshire