Jacob Craig Baumgartner, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1001860-15 Issued in WI

Practice address

306 W McMillan St
Marshfield, WI 54449-6013

Phone

(715) 387-1702

NPI assigned

Jun 18, 2018

Last updated

Jun 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Twin Oaks Dental LLC

  • General Practice Dentistry
  • Gladstone, MO
  • NPI 1619859972
  NPD Authorized official
• Dental Clinic of Marshfield SC

  • Dentist
  • Marshfield, WI
  • NPI 1699724815
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1124512777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HERITAGE DR APT 7",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544499116",
            "telephone_number": "515-508-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MCMILLAN ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544496013",
            "telephone_number": "715-387-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "JACOB",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001860-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A. Bast, MS CCC SP
• Olivia Batien Decleene
• Alison M Bauer, MD
• Anderson A Bauer, M.D.
• Michael J. Bauman, PA
• Mark Howard Baumgartner, DMD , MS
• Brittany Baumler, OTR/L
• James Beathard, PA
• Katie Marie Beck, SLP
• Mark Aaron Beck, PA-C

• Dentist in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.