MS. MAVIS A. BATES L. AC.
Complete NPI Record 1669778742
Acupuncturist in Aurora, IL

NPI Status: Active since February 07, 2011

Contact Information

412 N LAKE ST
AURORA, IL
ZIP 60506
Phone: (630) 605-9244
Fax: (630) 892-2535

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Complete NPI Dataset

The following table represents the complete dataset for NPI number 1669778742. The table includes a list of all field names, values and definitions of the full NPI record. This dataset is available for download in CSV format using the "Download NPI" button below at the end of the table.

Name Value Definition
NPI1669778742The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code1Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Last Name Legal NameBATESThe last name of the provider. If the provider is an individual, this is the legal name.
Provider First NameMAVISThe first name of the provider, if the provider is an individual.
Provider Middle NameA.The middle name of the provider, if the provider is an individual.
Provider Name Prefix TextMS.The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Credential TextL. AC.The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address412 N LAKE STThe first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City NameAURORAThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameILThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code605064106The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number6306059244The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number6308922535The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address412 N LAKE STThe first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameAURORAThe city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameILThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code605064106The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe last name of the provider. If the provider is an individual, this is the legal name.
Provider Business Practice Location Address Telephone Number6306059244The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number6308922535The fax number associated with the location address of the provider being identified.
Provider Enumeration Date2/7/2011The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date2/7/2011The date that a record was last updated or changed.
Provider Gender CodeFThe code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1171100000XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1198-000596The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1ILThe first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Healthcare Provider Primary Taxonomy Switch 1YThe city name in the location address of the provider being identified.
Is Sole ProprietorYThe State code in the location of the provider being identified.