Heath Tripp Bateman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-5358 Issued in ID

Practice address

395 E 600 S
Preston, ID 83263-4901

Phone

(208) 852-0194

NPI assigned

Jun 11, 2018

Last updated

Mar 17, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Justin Carter DDS P.C.

  dba Canyon Creek Dental

  • Dentist
  • Preston, ID
  • NPI 1033849104
  NPD
• Robinson Dental & Implants

  • Dentist
  • Roosevelt, UT
  • NPI 1164920187
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1851884258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W 3600 S",
            "city": "WESTON",
            "state": "ID",
            "postal_code": "832865162",
            "telephone_number": "801-851-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 E 600 S",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832634901",
            "telephone_number": "208-852-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "HEATH",
        "middle_name": "TRIPP",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "10858697-9922",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ascend Health LLC (Ascend Hospice)
• Auralcare Hearing Centers of America, LLC (My Hearing Centers)
• Marcia B Austin, IP
• Back in Action Chiropractic LLC
• Jodie Lynn Barnes, LCPC
• David Bradley Beckstead, MD
• John Gerard Bitwinski, M.D.
• Gordon Scott Bontrager, MD
• Brett D Naylor DDS PA (Advanced Dental Center)
• Nathan Burnett, ATC

• General Practice Dentistry in Preston, ID
• Providers in Preston, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.