Vincen Bateman Jr.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011800 Issued in AZ

Practice address

42104 N Venture Dr Unit 103
Anthem, AZ 85086-3823

Phone

(480) 561-5693

NPI assigned

Jun 29, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Diamond Dental, LLC

  • General Practice Dentistry
  • Anthem, AZ
  • NPI 1154290468
  NPD Authorized official
• Comfort Care Dental of Idaho Falls, PLLC

  • Dental Clinic/Center
  • Idaho Falls, ID
  • NPI 1679704647
  NPD (past)

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1558048801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 BALBOA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046457",
            "telephone_number": "208-680-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR UNIT 103",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863823",
            "telephone_number": "480-561-5693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Washington Pkwy",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834044968",
            "country_code": "US",
            "telephone_number": "208-524-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "595 N Dobson Rd # B40",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852244226",
            "country_code": "US",
            "telephone_number": "480-786-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "VINCEN",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-29",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balance Nutrition With Andi LLC
• Molly Balbierz, OD
• Barnet Dulaney Perkins Eye Center, PC
• Mary Baron, PH.D.
• Angela Chun Baskin, D.D.S.
• Margaret Baumgartner
• Cynthia L. Beanblossom, M.ED., LPC
• Beechtree Diagnostics LLP
• Hannah Beer, LPC
• Kyle Steven Bergeson, DPT

• General Practice Dentistry in Anthem, AZ
• Providers in Anthem, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.