Charles Dale Bauer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4565 Issued in NE

Practice address

2115 N Kansas Ave
Suite #202
Hastings, NE 68901-2615

Phone

(402) 462-6410

Fax

(402) 462-4463

NPI assigned

Jul 27, 2006

Last updated

Apr 18, 2011By 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Hastings Family Dental LLC

  dba Doniphan Dental Services

  • General Practice Dentistry
  • Hastings, NE
  • NPI 1639766876
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1194739276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 N KANSAS AVE",
            "address_2": "SUITE #202",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012615",
            "telephone_number": "402-462-6410",
            "fax_number": "402-462-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 N KANSAS AVE",
            "address_2": "SUITE #202",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012615",
            "telephone_number": "402-462-6410",
            "fax_number": "402-462-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "CHARLES",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larina Renee Ballheim
• Valentina Barclay
• Charlotte M Barrientez, RN
• Gary W Barth, MD
• Michelle L Batterman, PA
• Kyla Bauer
• Michael Dean Bauer, PTA
• Vanetta Bauman
• Sara Elizabeth Baumann, RN
• Wendy Baumeister, LMHP

• General Practice Dentistry in Hastings, NE
• Providers in Hastings, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.