Organization Active NPI

Jay E. Bauman D.D.S., a Professional Dental Corporation

  • Dental Clinic/Center
  • Orange, CA
National Provider Identifier
1043408883
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
38491 Issued in CA
Legal business name
JAY E. BAUMAN D.D.S., A PROFESSIONAL DENTAL CORPORATION
Practice address
1110 E Chapman Ave Ste 102
Orange, CA 92866-2145
Phone
(714) 532-0888
Fax
(714) 532-0066
NPI assigned
Oct 5, 2007
Last updated
Oct 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Dr. Jay E. Bauman, D.D.S.NPI 1659573939
Title
President
Phone
(714) 532-0888

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 38491 CA Primary

Addresses

Primary practice location

1110 E Chapman Ave Ste 102
Orange, CA 92866-2145

Mailing address

1110 E Chapman Ave Ste 102
Orange, CA 92866-2145
Phone (714) 532-0888

National Provider Directory

National Provider Directory
Tax ID family
Jay E Bauman DDS a Professional Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1043408883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E CHAPMAN AVE STE 102",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662145",
            "telephone_number": "714-532-0888",
            "fax_number": "714-532-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E CHAPMAN AVE STE 102",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662145",
            "telephone_number": "714-532-0888",
            "fax_number": "714-532-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY E. BAUMAN D.D.S., A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-532-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "38491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.