NPIMap

Organization Active NPI

William H Bausch DDS PC

  • Dental Clinic/Center
  • Davenport, IA
National Provider Identifier
1033378120
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6623 Issued in IA
Legal business name
WILLIAM H BAUSCH DDS PC
Practice address
3575 Jersey Ridge Rd
Davenport, IA 52807-2292
Phone
(563) 355-7488
Fax
(563) 355-7003
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Dr. William Harold Bausch, DDSNPI 1962588038
Title
Orthodontist
Phone
(563) 355-7488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6623 IA Primary

Addresses

Primary practice location

3575 Jersey Ridge Rd
Davenport, IA 52807-2292

Mailing address

3575 Jersey Ridge Rd
Davenport, IA 52807-2292
Phone (563) 355-7488

National Provider Directory

National Provider Directory

Locations

3575 Jersey Ridge Rd
Davenport, IA 52807
Phone (563) 355-7488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1033378120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 JERSEY RIDGE RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072292",
            "telephone_number": "563-355-7488",
            "fax_number": "563-355-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 JERSEY RIDGE RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072292",
            "telephone_number": "563-355-7488",
            "fax_number": "563-355-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H BAUSCH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "BAUSCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "563-355-7488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "6623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.