Peter Jeffrey Bauer, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

38254 Issued in CA

Practice address

13035 Pomerado Rd
Poway, CA 92064-4247

Phone

(858) 486-1412

Fax

(858) 486-2289

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164574729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13035 POMERADO RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644247",
            "telephone_number": "858-486-1412",
            "fax_number": "858-486-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13035 POMERADO RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644247",
            "telephone_number": "858-486-1412",
            "fax_number": "858-486-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "PETER",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "38254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Bartlett, RN
• Allison Colleen Barton, LMFT
• Maryam Basheer
• Melissa Baskin, PPS
• Zoey Battle
• Ohara Bautista
• Nayeli Becerril
• Michelle Becker, LMFT
• Nazareth Bedoya Gallego
• Santiago Bedoya Gallego, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Poway, CA
• Providers in Poway, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.