Individual provider Active NPI

Steven Brady Bates, DDS

  • Dentist
  • Spokane, WA
National Provider Identifier
1811252802
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60290349 Issued in WA
Practice address
2700 S Southeast Blvd Ste 104
Spokane, WA 99223-4984
Phone
(509) 868-1623
NPI assigned
Jul 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60290349 WA Primary

Addresses

Primary practice location

2700 S Southeast Blvd Ste 104
Spokane, WA 99223-4984

Mailing address

2700 S Southeast Blvd Ste 104
Spokane, WA 99223-4984
Phone (509) 868-1623

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
I20150303001379 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3476879826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60290349WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1811252802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S SOUTHEAST BLVD STE 104",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234984",
            "telephone_number": "509-868-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S SOUTHEAST BLVD STE 104",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234984",
            "telephone_number": "509-868-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "STEVEN",
        "middle_name": "BRADY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60290349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.