Richard T. Baudendistel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-023714 Issued in OH

Practice address

3012 Glenmore Ave
Suite 12
Cincinnati, OH 45238-2269

Phone

(513) 661-8509

NPI assigned

Jul 12, 2012

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 OH

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 and National Provider Directory roles.

• Richard Baudendistel Dentistry

  • Dental Clinic/Center
  • Cincinnati, OH
  • NPI 1750735783
  NPD (past) Authorized official

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1225393408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 GLENMORE AVE",
            "address_2": "SUITE 12",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382269",
            "telephone_number": "513-661-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 GLENMORE AVE",
            "address_2": "SUITE 12",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382269",
            "telephone_number": "513-661-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUDENDISTEL",
        "first_name": "RICHARD",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica R Baublitz, LPCC
• Inga Baublyte
• Amanda Morgan Baucom
• Jessica D Baucom
• Diane S Baudendistel, RN, CNP
• Alexandra Bauer, RN
• Elizabeth A. Bauer, MSW, LISW, CT
• Elizabeth H Bauer
• Emma Bauer
• Jessica Bauer

• General Practice Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.