Active NPI
Nina Marie Baeuerle, D.M.D.
- General Practice Dentistry
- New City, NY
National Provider Identifier
1245454511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 045741-1
- Practice address
- 65 S Little Tor Rd
New City, NY 10956-3444 - Phone
- (845) 638-0478
- Fax
- (845) 638-0478
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 045741-1 | NY | Primary |
Addresses
Primary practice location
65 S Little Tor Rd
New City, NY 10956-3444
Mailing address
65 South Little Tor Road
New City, NY 10956
Phone (845) 638-0478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045741-1 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245454511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 SOUTH LITTLE TOR ROAD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "10956",
"telephone_number": "845-638-0478",
"fax_number": "845-638-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 S LITTLE TOR RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109563444",
"telephone_number": "845-638-0478",
"fax_number": "845-638-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAEUERLE",
"first_name": "NINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "045741-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New City, NY
Sources for this page
- 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.