Individual provider Active NPI

Ryan V Bateman, D.M.D.

  • General Practice Dentistry
  • North Ogden, UT
National Provider Identifier
1447416425
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7011192-9921 Issued in UT
Practice address
2201 N 400 E
North Ogden, UT 84414-7210
Phone
(801) 782-6681
NPI assigned
Jul 30, 2008
Last updated
Jul 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7011192-9921 UT Primary

Addresses

Primary practice location

2201 N 400 E
North Ogden, UT 84414-7210

Mailing address

2201 N 400 E
North Ogden, UT 84414-7210
Phone (801) 782-6681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150612000906 UT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4082925300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7011192-9921UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Northview Dental Associates LLC General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1447416425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N 400 E",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844147210",
            "telephone_number": "801-782-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N 400 E",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844147210",
            "telephone_number": "801-782-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "RYAN",
        "middle_name": "V",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7011192-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ogden, UT

Sources for this page

Verify at the official NPI Registry.