Individual provider Active NPI

Casey Bates, DDS

  • Dentist
  • Harvey, LA
National Provider Identifier
1982053344
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6670 Issued in LA
Practice address
2840 Manhattan Blvd
Harvey, LA 70058-2988
Phone
(504) 324-3353
NPI assigned
Jun 7, 2016
Last updated
Jun 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6670 LA Primary

Addresses

Primary practice location

2840 Manhattan Blvd
Harvey, LA 70058-2988

Mailing address

912 Germain St
New Orleans, LA 70124-3824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20200407001272 LA Practitioner - Dentist 8022300714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6670LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
HIV-AIDS Alliance for Region Two CurrentSince Mar 9, 2020 Accepting new patients
HIV-AIDS Alliance for Region Two Current Accepting new patients

Locations

3801 North Blvd
Baton Rouge, LA 70806
Phone (225) 381-6620

4550 North Blvd
Ste 250
Baton Rouge, LA 70806
Phone (225) 927-1269

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1982053344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 GERMAIN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701243824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 MANHATTAN BLVD",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582988",
            "telephone_number": "504-324-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

Verify at the official NPI Registry.