Active NPI
Jerry L Batten, DDS, MPH
- Public Health Dentistry
- Morehead City, NC
National Provider Identifier
1700900412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 4608
- Practice address
- 3820 Bridges St
Suite a
Morehead City, NC 28557-2918 - Phone
- (252) 728-8550
- Fax
- (252) 222-7739
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 4608 | NC | Primary |
Addresses
Primary practice location
3820 Bridges St
Suite a
Morehead City, NC 28557-2918
Mailing address
PO Box 160
Atlantic Beach, NC 28512-0160
Phone (252) 808-7080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0727E | Other | NC | DENTAL CLINIC |
| 3404471 | Medicaid | NC |
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 |
|---|---|---|---|
| 4608 | NC | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1700900412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "ATLANTIC BEACH",
"state": "NC",
"postal_code": "285120160",
"telephone_number": "252-808-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 BRIDGES ST",
"address_2": "SUITE A",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285572918",
"telephone_number": "252-728-8550",
"fax_number": "252-222-7739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTEN",
"first_name": "JERRY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NC",
"license": "4608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL CLINIC",
"identifier": "0727E",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404471",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morehead City, NC
- Barton L Lewis MD
- Andrew Dewey Barton, PA-C
- Edward T Bates III, PTA
- Philip Dean Bates, M.D.
- Thomas E Bates, MD
- Sierra Dawn Baxter, PA-C
- Beachcare East Urgent Medical Center PC
- Beachcare Urgent and Family Medical Center, PLLC
- Beachcare Urgent and Family Medical Center, PLLC
- Beachcare Urgent Medical Center PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.