Individual provider Active NPI

Dale Batz, RDN

  • Registered Dietitian
  • Dyer, IN
National Provider Identifier
1952924664
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37000443A Issued in IN
Practice address
24 Joliet St Ste 302
Dyer, IN 46311-1705
Phone
(219) 852-2518
NPI assigned
May 28, 2020
Last updated
May 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
646689OtherINRD #

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
37000443AINMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Kidanu Birhanu MD SC CurrentSince May 31, 2020 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.

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.

Verify at the official NPI Registry.