Individual provider Active NPI

Suneet Singh Bath, DMD

  • Dentist
  • Olympia, WA
National Provider Identifier
1689684797
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00009299 Issued in WA
Practice address
4538 Martin Way E
E103
Olympia, WA 98516
Phone
(360) 493-1866
Fax
(360) 493-1445
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00009299 WA Primary

Addresses

Primary practice location

4538 Martin Way E
E103
Olympia, WA 98516

Mailing address

4538 Martin Way E
#103
Olympia, WA 98516
Phone (360) 493-1866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20110222001184 WA Practitioner - Oral Surgery 4486835568 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00009299WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Suneet S Bath D M D P S Dentist CurrentSince Jul 19, 2006 Accepting new patients

Locations

4538 Martin Way E
Ste 103
Olympia, WA 98516
Phone (360) 493-1866

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1689684797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 MARTIN WAY E",
            "address_2": "#103",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98516",
            "telephone_number": "360-493-1866",
            "fax_number": "360-493-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4538 MARTIN WAY E",
            "address_2": "E103",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98516",
            "telephone_number": "360-493-1866",
            "fax_number": "360-493-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATH",
        "first_name": "SUNEET",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.