Active NPI
Dale Batz, RDN
- Registered Dietitian
- Dyer, IN
National Provider Identifier
1952924664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37000443A
- Practice address
- 24 Joliet St Ste 302
Dyer, IN 46311-1705 - Phone
- (219) 852-2518
- NPI assigned
- May 28, 2020
- Last updated
- May 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37000443A | IN | Primary |
Addresses
Primary practice location
24 Joliet St Ste 302
Dyer, IN 46311-1705
Mailing address
4160 Oakmont CT
Crown Point, IN 46307-8958
Phone (219) 662-8914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 646689 | Other | IN | RD # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dale.batz@franciscanalliance.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37000443A | IN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidanu Birhanu MD SC | Current | Accepting new patients |
Locations
24 Joliet St
Ste 302
Dyer, IN 46311
Phone (219) 852-2518
Organizations & group practices 1
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.
-
- Clinic/Center
- Dyer, IN
- NPI 1619288339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1952924664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 OAKMONT CT",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078958",
"telephone_number": "219-662-8914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 JOLIET ST STE 302",
"city": "DYER",
"state": "IN",
"postal_code": "463111705",
"telephone_number": "219-852-2518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATZ",
"first_name": "DALE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-28",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37000443A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RD #",
"identifier": "646689",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dale.batz@franciscanalliance.org",
"affiliation": "N",
"endpointDescription": "FHD Email",
"address_1": "24 Joliet St Ste 302",
"city": "Dyer",
"state": "IN",
"country_code": "US",
"postal_code": "463111705",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dyer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.