Gwenna Natasha Bates, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7394 Issued in KY

Practice address

29 Eury LN
Somerset, KY 42501-4115

Phone

(606) 678-8881

Fax

(606) 678-8881

NPI assigned

Aug 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

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

• Associates in Dentistry, LLC

  • General Practice Dentistry
  • Somerset, KY
  • NPI 1285782029
  NPD (past) Authorized official

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639188477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 EURY LN",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425014115",
            "telephone_number": "606-678-8881",
            "fax_number": "606-678-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 EURY LN",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425014115",
            "telephone_number": "606-678-8881",
            "fax_number": "606-678-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "GWENNA",
        "middle_name": "NATASHA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60073947",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Gail Barnett
• Pamela M Barnett
• Audrey Kay Barron, APRN
• Darrell Gene Bartley Jr., DMD
• Allison Rebecca Bastin-Muse, ARNP
• Leslie Rhnea Bates
• Kristi Baugh, LPP
• Banessa Beasley, RN
• Sonya Beattie, P.T.
• Ashley N Beckley, APRN

• General Practice Dentistry in Somerset, KY
• Providers in Somerset, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.