Blaine Smith Bateman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

135578 Issued in UT

Practice address

218 N Center St
American Fork, UT 84003-1630

Phone

(801) 756-9310

Fax

(801) 763-8600

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982640751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N CENTER ST",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031630",
            "telephone_number": "801-756-9310",
            "fax_number": "801-763-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N CENTER ST",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031630",
            "telephone_number": "801-756-9310",
            "fax_number": "801-763-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "BLAINE",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "135578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliana Barreto
• Kellyn Grace Barrow
• Tiffany Rae Barrus, FNP
• Daniel Lynn Barton, PHARMD
• Lindsie Esme Bastian, PA-C
• Joshua Merrill Bateman, D.D.S.
• Evan Battista
• Craig Batty, D.O.
• Megan Beames
• Gregory H Bean, MD

• General Practice Dentistry in American Fork, UT
• Providers in American Fork, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.