Jonathan W Bauter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D-4357 Issued in ID

Practice address

210 W Mallard Dr Ste E
Boise, ID 83706-3992

Phone

(208) 344-8363

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Jonathan W Bauter DDS

  • General Practice Dentistry
  • Boise, ID
  • NPI 1629449269

  Single Specialty

  NPD (past) Authorized official
• Jonathan W Bauter DDS PLLC

  • Dentist
  • Boise, ID
  • NPI 1427302843
  NPD (past) Authorized official
• Bauter Holmes DDS LTD

  • Dentist
  • Carson City, NV
  • NPI 1578613683
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1013067115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W MALLARD DR STE E",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063992",
            "telephone_number": "208-344-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MALLARD DR STE E",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063992",
            "telephone_number": "208-344-8363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897033830",
            "country_code": "US",
            "telephone_number": "775-882-4247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUTER",
        "first_name": "JONATHAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "4714",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Baumann
• Robyn Baumgardt, LMT
• Lauren Jean Baumgartner
• Timothy Joseph Baures, M.D.
• Ashlee Bauter, N.P.
• Anthony Bautista, LMT, CPT, CES
• Brandon Robert Bautista
• Carlos Bautista, MD
• Lesena Bautista
• Daniel Bawcom, RN

• Dentist in Boise, ID
• Providers in Boise, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.