Jon Charles Baumann, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

M621 Issued in SD

Practice address

809 Belfast St
Yankton, SD 57078-3324

Phone

(605) 665-5695

Fax

(605) 260-5695

NPI assigned

Jan 24, 2007

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

Other identifiers 2

Other names 1

• Jon C Baumann Professional name

Medicare fee-for-service enrollment

Enrolled in SD

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

Practice roles

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.

• Dr Jon C Baumann DDS PC

  • General Practice Dentistry
  • Yankton, SD
  • NPI 1295865178
  NPD (past) Authorized official
• Borowski Family Dentistry PLLC

  • Dental Clinic/Center
  • Yankton, SD
  • NPI 1598438657
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013062728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691",
            "address_2": "809 BELFAST ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783324",
            "telephone_number": "605-665-5695",
            "fax_number": "605-260-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 BELFAST ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783324",
            "telephone_number": "605-665-5695",
            "fax_number": "605-260-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMANN",
        "first_name": "JON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805010",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46046350400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JON",
            "last_name": "BAUMANN",
            "middle_name": "C",
            "credential": "DDS PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ryan Bakke, DDS
• Courtney Ballard, LPC-MH
• Clarissa Grace Barnes, M.D.
• Courtney Barnes
• Leann Bassing, M.D.
• Kendra Becker, DPT
• Brooke Zerita Beckius
• Beth Johanna Beeman, AU.D., CCC-A
• Todd Belgum, PHARMD
• Fred Bender, LPC-MH, QMHP

• Dentist in Yankton, SD
• Providers in Yankton, SD by specialty
• Dentist in South Dakota

• 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.