NPIMap

Individual provider Active NPI

David Andrew Bates, D.D.S.

  • Dentist
  • Roseville, MN
National Provider Identifier
1801129226
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12749 Issued in MN
Practice address
2575 Hamline Ave N
Suite F
Roseville, MN 55113-3175
Phone
(651) 636-2373
Fax
(651) 636-2374
NPI assigned
Sep 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D12749 MN Primary

Addresses

Primary practice location

2575 Hamline Ave N
Suite F
Roseville, MN 55113-3175

Mailing address

2575 Hamline Ave N
Suite F
Roseville, MN 55113-3175
Phone (651) 636-2373

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

LicenseStateTypeSpecialty
D12749MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Loop Dental PLLC Past Accepting new patients
Bates Dental Care LTD Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1801129226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 HAMLINE AVE N",
            "address_2": "SUITE F",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133175",
            "telephone_number": "651-636-2373",
            "fax_number": "651-636-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 HAMLINE AVE N",
            "address_2": "SUITE F",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133175",
            "telephone_number": "651-636-2373",
            "fax_number": "651-636-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.