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Vincen Bateman

Dentist - General Practice β€’ Anthem, AZ

Active NPI 1558048801 Individual Practitioner Male Practitioner
Practice location in NPPES

42104 N Venture Dr Unit 103
Anthem, AZ 850863823

Call 4805615693 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

42104 N Venture Dr Unit 103

Anthem, AZ 850863823

Telephone 4805615693
Organization at the Same NPPES Address or Phone
Diamond Dental, Llc Facility NPI 1154290468

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Chandler, AZ; Idaho Falls, ID. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Anthem and Arizona

16 active clinicians are listed under Dentist - General Practice with a practice address in Anthem, AZ (2,483 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Anthem

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES AZ D011800

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Secondary Practice Locations

3550 Washington Pkwy

Idaho Falls, ID 834044968

Phone: 2085242300

595 N Dobson Rd # B40

Chandler, AZ 852244226

Phone: 4807869030

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location November 04, 2025

Registered at 42104 N VENTURE DR UNIT 103, ANTHEM, AZ 850863823 (Tel: 4805615693)

πŸ“
Updated Practice Location May 08, 2024

Registered at 595 N DOBSON RD # B40, CHANDLER, AZ 852244226 (Tel: 4807869030)

βœ…
NPI Profile Active June 29, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 29, 2023

Registered at 3550 WASHINGTON PKWY, IDAHO FALLS, ID 834044968 (Tel: 2085242300)

πŸ“
Business Mailing Address (Initial Record) June 29, 2023

Registered at 2054 BALBOA DR, IDAHO FALLS, ID 834046457 (Tel: 2086804203)

πŸ‘€
Provider Name / Credentials (Initial Record) June 29, 2023

Recorded as VINCEN BATEMAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2023

Dentist (license number reported to NPPES: AZ D011800)

🟒
Initial NPI Registration & Enumeration June 29, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558048801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2023
Last Update: November 04, 2025
Sole Proprietor: Yes

Other Dentist - General Practices in Anthem

All Dentist - General Practices in Anthem

Mailing Address

2054 Balboa Dr

Idaho Falls, ID 834046457

Phone: 2086804203

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.