Individual provider Active NPI

Erin Ruane Bauerle, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Havertown, PA
National Provider Identifier
1003158528
Registry record updated Feb 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS039110 Issued in PA
Practice address
1220 W Chester Pike
Havertown, PA 19083-3339
Phone
(484) 454-3230
NPI assigned
Mar 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS039110 PA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS039110 PA Primary

Addresses

Primary practice location

1220 W Chester Pike
Havertown, PA 19083-3339

Mailing address

2408 Olcott Ave
Ardmore, PA 19003-2612
Phone (215) 913-3389

Other practice location 1

233 E Lancaster Ave
Ardmore, PA 19003-2321
Phone (610) 896-8300

Other practice location 2

357 S Gulph Rd Ste 110
King Of Prussia, PA 19406-3174
Phone (610) 337-2325

Other practice location 3

7900 Old York Rd
Suite 108 A
Elkins Park, PA 19027-2318
Phone (215) 635-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DS039110PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Elkins Park Orthodontist Past Accepting new patients
Elkins Park Orthodontics PC Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Broomall Pediatric Dentistry & Orthodontics,P.C. Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550275200000",
    "number": "1003158528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 OLCOTT AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032612",
            "telephone_number": "215-913-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833339",
            "telephone_number": "484-454-3230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 E Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "PA",
            "postal_code": "190032321",
            "country_code": "US",
            "telephone_number": "610-896-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "357 S Gulph Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194063174",
            "country_code": "US",
            "telephone_number": "610-337-2325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7900 Old York Rd",
            "address_2": "Suite 108 A",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190272318",
            "country_code": "US",
            "telephone_number": "215-635-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUERLE",
        "first_name": "ERIN",
        "middle_name": "RUANE",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2019-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039110",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS039110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.