Individual provider Active NPI

Christopher Frederick Bates, D.M.D.

  • Endodontics
  • San Antonio, TX
National Provider Identifier
1962439364
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
21846 Issued in TX
Practice address
601 NW Loop 410
Suite 455
San Antonio, TX 78216-5510
Phone
(210) 342-2444
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 21846 TX Primary

Addresses

Primary practice location

601 NW Loop 410
Suite 455
San Antonio, TX 78216-5510

Mailing address

33060 Stahl LN
Bulverde, TX 78163-3131
Phone (830) 438-6095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160415000953 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8820396450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scott a. Janse, D.D.S., M.S., P.a. Endodontics Past Accepting new patients
Scott a. Janse, D.D.S., M.S., P.a. Endodontics Past Accepting new patients

Organizations & group practices 2

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1962439364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33060 STAHL LN",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781633131",
            "telephone_number": "830-438-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NW LOOP 410",
            "address_2": "SUITE 455",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165510",
            "telephone_number": "210-342-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "CHRISTOPHER",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "21846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.