NPIMap

Organization Active NPI

Angela Bauer DDS LLC

  • Dentist
  • Cambridge, WI
National Provider Identifier
1063825495
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5402-015 Issued in WI
Legal business name
ANGELA BAUER DDS LLC
Practice address
710 Katie CT
Cambridge, WI 53523-9308
Phone
(608) 423-3615
NPI assigned
Jun 3, 2014
Last updated
Jun 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Angela Bauer WilliamsNPI 1679698757
Title
Owner
Phone
(608) 423-3615

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
Dentist 122300000X 5402-015 WI Primary

Addresses

Primary practice location

710 Katie CT
Cambridge, WI 53523-9308

Mailing address

710 Katie CT
Cambridge, WI 53523-9308

National Provider Directory

National Provider Directory

Locations

710 Katie Ct
Cambridge, WI 53523
Phone (608) 423-3615

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": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1063825495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 KATIE CT",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535239308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 KATIE CT",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535239308",
            "telephone_number": "608-423-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA BAUER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "BAUER WILLIAMS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-423-3615"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5402-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.