Casey Bates, DDS
Individual provider Active NPI Dentist · Harvey, LA
NPI 1982053344 · NPPES record last updated Jun 7, 2016
Key facts
- NPI
- 1982053344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 6670 (LA)
- Practice address
- 2840 Manhattan Blvd
Harvey, LA 70058-2988 - Phone
- (504) 324-3353
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200407001272 | LA | Practitioner - Dentist | 8022300714 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6670 | LA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HIV-AIDS Alliance for Region Two | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6670 | LA | Yes |
Addresses
Primary practice location
2840 Manhattan Blvd
Harvey, LA 70058-2988
Mailing address
912 Germain St
New Orleans, LA 70124-3824
Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.