Mackenzie Bates, DDS, MSD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401417495 Issued in VA

Practice address

11600 Busy St Ste 101
North Chesterfield, VA 23236-4066

Phone

(804) 215-8600

NPI assigned

May 18, 2021

Last updated

Oct 10, 2023By the provider in NPPES

Sex

Female

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

Enrolled in IN

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

State licenses

Practice roles

Locations

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

• Bitty Bites Pediatric Dentistry Inc.

  • Pediatric Dentistry
  • North Chesterfield, VA
  • NPI 1861023251
  NPD

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1841864469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 BUSY ST STE 101",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364066",
            "telephone_number": "804-215-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 BUSY ST STE 101",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364066",
            "telephone_number": "804-215-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "MACKENZIE",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401417495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katheryn Enice Barriera
• James Anthony Bartell
• Marianne Bartholomew
• Kiersten Nicole Basciano
• Melinda Batalias
• April Esther Battle
• Natalie Battle, M.ED
• Nishaun Battle, PH.D.
• Jennifer Diane Bauer, PA
• Morgan Johnson Baumgartner, DPT

• Pediatric Dentistry in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.