Jordan Bauman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

29375 Issued in TX

Practice address

3305 Northland Dr
Suite 515
Austin, TX 78731-4961

Phone

(512) 452-9296

NPI assigned

Aug 12, 2013

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

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.

• Austin Dental Spa, PLLC

  • General Practice Dentistry
  • Austin, TX
  • NPI 1912474651
  NPD (past)

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1013340298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W 6TH ST",
            "address_2": "UNIT 211",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787035328",
            "telephone_number": "717-994-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 NORTHLAND DR",
            "address_2": "SUITE 515",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314961",
            "telephone_number": "512-452-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "JORDAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Baughman, MS, RD, CLC, CPT
• Madeleine Niemann Baughman, PA
• Rebecca Baughman, LPC-A
• Lauren Michelle Baulch, DPT
• Dawn Christa Bauman, PHARMD
• Karol K. Bauman, PA-C
• Mary Rose Bauman, M.A., CCC-SLP
• Sara Lisabeth Bauman, P.T.
• Erica M Baumann, BCBA
• Lindsay Cathryn Baumann

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.