Suman Bathina, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

29137 Issued in TX

Practice address

2400 E Oltorf St
Austin, TX 78741-4563

Phone

(512) 822-7275

NPI assigned

Jun 20, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1760821037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 DAVIS LN APT 922",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494564",
            "telephone_number": "310-997-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E OLTORF ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787414563",
            "telephone_number": "512-822-7275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9813 N LaMar Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787534113",
            "country_code": "US",
            "telephone_number": "512-593-4463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 W Slaughter Ln Ste 190",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787485997",
            "country_code": "US",
            "telephone_number": "512-593-4465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATHINA",
        "first_name": "SUMAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29137",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "29137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie Bates, LPC
• Kayla Nicole Bates
• Lorretta Lola Bates
• Sharon Wood Bates, L..P.C.
• Stacey Bates, PH.D.
• Kim Batiansila
• Cristian Ramon Batista
• Sergio Javier Batiz, LIC. SURGICAL ASSIST
• Shalini L Batra, PHD
• Genesis Batres

• Endodontics in Austin, TX
• Providers in Austin, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.