Organization Active NPI

Suneet S Bath D M D P S

  • Dentist
  • Olympia, WA
National Provider Identifier
1346796141
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9299 Issued in WA
Legal business name
SUNEET S BATH D M D P S
Practice address
4538 Martin Way E Ste 103
Olympia, WA 98516-5387
Phone
(360) 493-1866
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Mr. Suneet S Bath, D.D.SNPI 1689684797
Title
Owner
Phone
(360) 493-1866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 9299 WA Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

4538 Martin Way E Ste 103
Olympia, WA 98516-5387

Mailing address

4538 Martin Way E Ste 103
Olympia, WA 98516-5387
Phone (360) 493-1866

Other names 1

  • Impressions Dentistry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200910002602 WA DME Supplier - Oral Surgery - Dentist 0446678262 Practice locations: Olympia, WA
O20260302002579 WA Part B Supplier - Clinic/Group Practice 0446678262 Receives reassigned benefits from 1 practitioner
Practice locations: Olympia, WA

National Provider Directory

National Provider Directory

Locations

4538 Martin Way E
Ste 103
Olympia, WA 98516
Phone (360) 493-1866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1346796141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 MARTIN WAY E STE 103",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165387",
            "telephone_number": "360-493-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4538 MARTIN WAY E STE 103",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165387",
            "telephone_number": "360-493-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNEET S BATH D M D P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "BATH",
        "authorized_official_first_name": "SUNEET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-493-1866",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "9299",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impressions Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Impressions Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.