Active NPI
Allyson Kay Bauch-Friedrich, D.D.S
- Dentist
- Victoria, TX
National Provider Identifier
1013205509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27187
- Practice address
- 1505 E Rio Grande St Ste 120
Victoria, TX 77901-7397 - Phone
- (361) 235-4283
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27187 | TX | |
| Dentist | 122300000X | 27187 | TX | Primary |
Addresses
Primary practice location
1505 E Rio Grande St Ste 120
Victoria, TX 77901-7397
Mailing address
690 Woodsprite Rd
Victoria, TX 77905-2550
Phone (979) 324-5084
Other practice location 1
1702 E Airline Rd
Victoria, TX 77901-4250
Phone (361) 576-0777
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27187 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allyson Bauch-Friedrich, D.D.S., PLLC | Dentist | Past | Accepting new patients |
Networks
- NM HMO C-SNP
- TX HMO D-SNP
Organizations & group practices 1
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.
-
- Dentist
- Victoria, TX
- NPI 1437597416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1013205509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 WOODSPRITE RD",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779052550",
"telephone_number": "979-324-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 E RIO GRANDE ST STE 120",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779017397",
"telephone_number": "361-235-4283"
}
],
"practiceLocations": [
{
"address_1": "1702 E Airline Rd",
"address_purpose": "LOCATION",
"city": "Victoria",
"state": "TX",
"postal_code": "779014250",
"country_code": "US",
"telephone_number": "361-576-0777",
"fax_number": "361-576-0750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUCH-FRIEDRICH",
"first_name": "ALLYSON",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27187",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.