Active NPI
Scott W Baumann DDS PC
- General Practice Dentistry
- Grinnell, IA
National Provider Identifier
1013174556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29573
- Legal business name
- SCOTT W BAUMANN DDS PC
- Practice address
- 902 Park St
Grinnell, IA 50112-2050 - Phone
- (641) 236-6174
- Fax
- (641) 236-8784
- NPI assigned
- May 21, 2008
- Last updated
- May 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott William Baumann, DDS
- Title
- President
- Phone
- (641) 236-6174
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 29573 | IA | Primary |
Addresses
Primary practice location
902 Park St
Grinnell, IA 50112-2050
Mailing address
902 Park St
Grinnell, IA 50112-2050
Phone (641) 236-6174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0232272 | Medicaid | IA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Grinnell, IA
- NPI 1306910658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211328000000",
"number": "1013174556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 PARK ST",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501122050",
"telephone_number": "641-236-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 PARK ST",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501122050",
"telephone_number": "641-236-6174",
"fax_number": "641-236-8784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT W BAUMANN DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A",
"authorized_official_last_name": "BAUMANN",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "641-236-6174",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "29573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0232272",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grinnell, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.