Skip to content
NPISignal

Individual Healthcare Provider

Vincen Bateman

NPI Record: ActiveDentist — General Practice
NPI1558048801
Anthem, Arizona

Provider's NPPES record last updated: November 4, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1558048801
Primary Specialty
Dentist — General Practice
Practice Location
Anthem, Arizona
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 12:15 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dentist

    General Practice

    Dental Providers

    Primary

    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.

    Taxonomy code 1223G0001X

Provider-Reported License Information

Dentist (Arizona)
D011800
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

42104 N Venture Dr Unit 103

Anthem, Arizona 85086-3823

Phone: (480) 561-5693

Additional Practice Location

3550 Washington Pkwy

Idaho Falls, Idaho 83404-4968

Phone: (208) 524-2300

Additional Practice Location

595 N Dobson Rd # B40

Chandler, Arizona 85224-4226

Phone: (480) 786-9030

Record Information

Enumeration Date
June 29, 2023
Provider's NPPES Record Last Updated
November 4, 2025
Certification Date
November 4, 2025
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue