Timothy Joseph Bates, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

029610 Issued in NY

Practice address

218 Denison Pkwy E
Suite 1
Corning, NY 14830-2813

Phone

(607) 937-5341

Fax

(607) 937-5344

NPI assigned

Jan 6, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Corning Dental Associates RLLP

  • Dentist
  • Corning, NY
  • NPI 1649387564
  NPD (past) Authorized official

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1386974798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 DENISON PKWY E",
            "address_2": "SUITE 1",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302813",
            "telephone_number": "607-937-5341",
            "fax_number": "607-937-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DENISON PKWY E",
            "address_2": "SUITE 1",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302813",
            "telephone_number": "607-937-5341",
            "fax_number": "607-937-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "029610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kenneth Austin, MD
• Ashley Ayres
• Mohammad Ayyub, M.D.
• Teresa Bailey, MA
• Abby Rochelle Bannister, MA CCC-SLP
• Philippe Richard Beaudry, MD
• Seyed Abdoljavad Beheshti Shirazi, M.D.
• Shanda Benjamin-Herchanik, LMSW
• Karin E Benjamin, LCSW
• Scott Joseph Beres, D.C.

• All providers in Corning, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.