Jacob Richard Bateman, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

9863 Issued in TN

Practice address

1567 N Eastman Rd
Suite 16
Kingsport, TN 37664-2683

Phone

(423) 247-9231

Fax

(423) 246-9299

NPI assigned

Jun 16, 2014

Last updated

Jun 16, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1841604055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 N EASTMAN RD",
            "address_2": "SUITE 16",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642683",
            "telephone_number": "423-247-9231",
            "fax_number": "423-246-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 N EASTMAN RD",
            "address_2": "SUITE 16",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642683",
            "telephone_number": "423-247-9231",
            "fax_number": "423-246-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "JACOB",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everette Barton, NP
• Randy Lane Barton, CRNA
• Verna Theola Barton, PHARMD
• Rebecca Anne Bass, BSW
• Laura Leigh Bassham, CRNA
• Richard E Bateman, M.A.G.D.
• Ashley Bates, PHARMD
• Chad Bates, M.D.
• Steven J Baumrucker, MD
• Barbara Dawn Bausman, RN, BSN, MS,CCRN-CMC

• Dentist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.