Active NPI
Mavis A. Bates, L. AC.
- Acupuncturist
- Aurora, IL
National Provider Identifier
1669778742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198-000596
- Practice address
- 412 N Lake St
Aurora, IL 60506-4106 - Phone
- (630) 605-9244
- Fax
- (630) 892-2535
- NPI assigned
- Feb 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198-000596 | IL | Primary |
Addresses
Primary practice location
412 N Lake St
Aurora, IL 60506-4106
Mailing address
412 N Lake St
Aurora, IL 60506-4106
Phone (630) 605-9244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198-000596 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297036800000",
"number": "1669778742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 N LAKE ST",
"city": "AURORA",
"state": "IL",
"postal_code": "605064106",
"telephone_number": "630-605-9244",
"fax_number": "630-892-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 N LAKE ST",
"city": "AURORA",
"state": "IL",
"postal_code": "605064106",
"telephone_number": "630-605-9244",
"fax_number": "630-892-2535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "MAVIS",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-07",
"last_updated": "2011-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198-000596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.