Organization Active NPI

David M. Bauer, D.D.S.

  • General Practice Dentistry
  • Fremont, CA
National Provider Identifier
1053722447
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36644 Issued in CA
Legal business name
DAVID M. BAUER, D.D.S.
Practice address
38080 Martha Ave
Suite B
Fremont, CA 94536-3809
Phone
(510) 790-3900
Fax
(510) 790-1077
NPI assigned
May 19, 2014
Last updated
May 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Dr. David Mark Bauer, D.D.S.NPI 1992832778
Title
Owner
Phone
(510) 790-3900

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
General Practice Dentistry 1223G0001X 36644 CA Primary

Addresses

Primary practice location

38080 Martha Ave
Suite B
Fremont, CA 94536-3809

Mailing address

38080 Martha Ave
Suite B
Fremont, CA 94536-3809
Phone (510) 790-3900

National Provider Directory

National Provider Directory

Locations

38080 Martha Ave
Ste B
Fremont, CA 94536
Phone (510) 790-3900

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": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1053722447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38080 MARTHA AVE",
            "address_2": "SUITE B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363809",
            "telephone_number": "510-790-3900",
            "fax_number": "510-790-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38080 MARTHA AVE",
            "address_2": "SUITE B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363809",
            "telephone_number": "510-790-3900",
            "fax_number": "510-790-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. BAUER, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-790-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.