John Amando Batlle III, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN9541 Issued in FL

Practice address

389 SW Chapel Hill St
Lake City, FL 32025-6921

Phone

(386) 752-1220

Fax

(386) 438-5118

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

Yes

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 FL

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

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.

• Robert E Marks DDS PA

  • Dentist
  • Lake City, FL
  • NPI 1700899382
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1902833221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 SW CHAPEL HILL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256921",
            "telephone_number": "386-752-1220",
            "fax_number": "386-438-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 SW CHAPEL HILL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256921",
            "telephone_number": "386-752-1220",
            "fax_number": "386-438-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATLLE",
        "first_name": "JOHN",
        "middle_name": "AMANDO",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN9541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Van Barry II
• Kelley Barton
• Rebekah Mae Bass
• Brenda J Bates, CRDH
• Dylan Batlle, DMD
• Jerrika Battle
• Bauer Speech Therapy, LLC
• Susan Bauer, CCC-SLP
• Brigita Sunshyne Baumgardner, LCSW
• Terry L Bax, CRNA

• General Practice Dentistry in Lake City, FL
• Providers in Lake City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.