Kellie Bateman, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

00203045 Issued in CO

Practice address

7025 Sheridan Blvd Ste 200
Westminster, CO 80003-3814

Phone

(303) 427-4001

NPI assigned

Aug 4, 2015

Last updated

Oct 30, 2018By 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 CO

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Potter DDS, LLC

  • Dental Clinic/Center
  • Denver, CO
  • NPI 1639669583
  NPD (past)
• Hidden Lake Dental Group, LLP

  dba Hidden Lake Dental Group

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1629472865
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1942686795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 LITTLE RAVEN ST UNIT 1-204",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021456",
            "telephone_number": "863-990-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 SHERIDAN BLVD STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800033814",
            "telephone_number": "303-427-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3145 Larimer St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802052312",
            "country_code": "US",
            "telephone_number": "720-605-6502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "KELLIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00203045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mick R. Barrett, LMFT
• Nina Rachel Barrett, N.P.
• Jaime Lynn Barth, BA
• Christine Marie Barthe, M.D.
• Nathan Daniel Bascom, DO
• Mary Elizabeth Bateman, RN
• Andrew Bates, DPT
• Frank Keith Battan, M.D.
• Erica Marie Batten
• Anthony Battista, M.D.

• Dentist in Westminster, CO
• Providers in Westminster, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.