Joanna Bauer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10556 Issued in SC

Practice address

108 Burton St
Spartanburg, SC 29301-5400

Phone

(864) 576-7169

NPI assigned

Jun 20, 2023

Sex

Female

Sole proprietor

Yes

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

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.

• Jim Nasim DMD PA

  • General Practice Dentistry
  • Spartanburg, SC
  • NPI 1720246325
  NPD (past)

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1023793650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 KENT RD",
            "city": "ANDREWS",
            "state": "SC",
            "postal_code": "295106756",
            "telephone_number": "843-833-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BURTON ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015400",
            "telephone_number": "864-576-7169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 Hall St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293021524",
            "country_code": "US",
            "telephone_number": "864-582-5915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JOANNA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landa M. Basham, LMFT
• R Bruce Bass, MD
• Jamie M Baston, LMSW
• James Richard Batson Jr.
• Connie Sue Battleson, RN, MSN, C-FNP
• Otis L Baughman III, M.D.
• Isaac Baum, MD
• Hali Singleton Baxa-Breedlove, DC
• Derek Baxter
• Shawna Baxter, DMD

• General Practice Dentistry in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.