NPIMap

Organization Active NPI

Bath Dental Professionals, LLP

  • Dentist
  • Bath, NY
National Provider Identifier
1710346390
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
041390 Issued in NY
Legal business name
BATH DENTAL PROFESSIONALS, LLP
Practice address
113 E Steuben St
Bath, NY 14810-1621
Phone
(607) 776-2116
NPI assigned
Feb 11, 2016
Organization subpart
Yes
Parent organization
DANSVILLE DENTAL PROFESSIONALS, LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Dr. Kenneth L Hale, D.D.S.
Title
Managing Partner
Phone
(585) 335-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 041390 NY Primary

Addresses

Primary practice location

113 E Steuben St
Bath, NY 14810-1621

Mailing address

113 E Steuben St
Bath, NY 14810-1621
Phone (607) 776-2116

National Provider Directory

National Provider Directory
Part of
Dansville Dental Profes

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1710346390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E STEUBEN ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101621",
            "telephone_number": "607-776-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E STEUBEN ST",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101621",
            "telephone_number": "607-776-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATH DENTAL PROFESSIONALS, LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANSVILLE DENTAL PROFESSIONALS, LLP",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "585-335-2201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "041390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.