Individual provider Active NPI

Steven Joseph Baune, DDS

  • General Practice Dentistry
  • Rosholt, SD
National Provider Identifier
1164630836
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D0518 Issued in SD
Practice address
11423 Lake Rd
Rosholt, SD 57260-7106
Phone
(605) 537-4797
NPI assigned
May 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D0518 SD Primary
General Practice Dentistry 1223G0001X D9917 MN

Addresses

Primary practice location

11423 Lake Rd
Rosholt, SD 57260-7106

Mailing address

11423 Lake Rd
Rosholt, SD 57260-7106
Phone (605) 537-4797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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

Enrollment IDStateProvider typePAC IDDetails
I20150721002028 SD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9436462306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D9917MNMDGeneral Practice Dentistry
D0518SDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164630836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11423 LAKE RD",
            "city": "ROSHOLT",
            "state": "SD",
            "postal_code": "572607106",
            "telephone_number": "605-537-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11423 LAKE RD",
            "city": "ROSHOLT",
            "state": "SD",
            "postal_code": "572607106",
            "telephone_number": "605-537-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUNE",
        "first_name": "STEVEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0518",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosholt, SD

Sources for this page

Verify at the official NPI Registry.