Philip A. Batson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2014016764 Issued in MO

Practice address

409 Vandiver Dr BLDG 4
Suite 101
Columbia, MO 65202-3754

Phone

(573) 875-7071

Fax

(573) 875-7072

NPI assigned

Jun 10, 2014

Sex

Male

Sole proprietor

Yes

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

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

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.

• Philip a. Batson, DDS, LLC

  • Dentist
  • Columbia, MO
  • NPI 1790198422
  NPD (past) Authorized official
• Ben F Batson DDS PC

  • General Practice Dentistry
  • Columbia, MO
  • NPI 1659584415
  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1457764185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 VANDIVER DR BLDG 4",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023754",
            "telephone_number": "573-875-7071",
            "fax_number": "573-875-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 VANDIVER DR BLDG 4",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023754",
            "telephone_number": "573-875-7071",
            "fax_number": "573-875-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATSON",
        "first_name": "PHILIP",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2014016764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jami Bates, PHYSICIAN ASSISTANT
• Joseph Micah Bates
• Jonathan Bath, M.D.
• Neha Simron Batool, PHD
• Ben Forrest Batson, DDS
• Kelly Gail Batton, DNP. FNP-BC
• Barbara G Bauer, PH.D.
• Byron Cris Bauer Jr., FNP-C
• Karen E. Bauer
• Susan M Bauer, APRN

• Dentist in Columbia, MO
• Providers in Columbia, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.