Marnie Chall Bauer, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN15812 Issued in FL

Practice address

4302 Henderson Blvd Ste 117
Tampa, FL 33629-5693

Phone

(813) 839-2273

Fax

(813) 886-5653

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 (4 of 6)

Locations

Networks

• FL HMO D-SNP
• FL HMO C-SNP

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/WpueQ59D-7qcu1Z24coDRM6Ii1_UOg9Y/

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.

• Sweet Dreams Tampa Sleep Apnea Institute LLC

  • Dentist
  • Lutz, FL
  • NPI 1336952001
  NPD Authorized official
• Deep Roots Dental and Facial Asethetics LLC

  • Dental Clinic/Center
  • Lutz, FL
  • NPI 1376350082
  NPD (past) Authorized official
• Deep Roots Project, LLC

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1548027204
  NPD
• Today'S Family Dental

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1427427434
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1013124387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 HENDERSON BLVD STE 117",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295693",
            "telephone_number": "813-839-2273",
            "fax_number": "813-886-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 HENDERSON BLVD STE 117",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295693",
            "telephone_number": "813-839-2273",
            "fax_number": "813-886-5653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4302 Henderson Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336295693",
            "country_code": "US",
            "telephone_number": "813-839-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3013 Allegra Way",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335596997",
            "country_code": "US",
            "telephone_number": "813-839-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MARNIE",
        "middle_name": "CHALL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taneisha L Battles, FNP-C
• Taylor Hoke Baudier, FNP-C
• Greg Stephen Bauer, CPO
• Hannah Jane Bauer, PA-C
• Leslie Ira Bauer, CO
• Michael Alan Bauer
• Sawyer Bauer
• Stacia Bauer
• Daniel Baughn, PH.D.
• Danielle Vaughn Baum, PH.D.

• All providers in Tampa, FL
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.