Joseph Bruce Bavitz, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5588 Issued in NE

Practice address

40TH Holdrege
Lincoln, NE 68583-0757

Phone

(402) 472-8900

Fax

(402) 472-6681

NPI assigned

Oct 17, 2006

Last updated

Jan 29, 2008By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrew R Glenn DDS MD PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Lincoln, NE
  • NPI 1740808211
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1275614273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40TH HOLDREGE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685830757",
            "telephone_number": "402-472-8900",
            "fax_number": "402-472-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40TH HOLDREGE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685830757",
            "telephone_number": "402-472-8900",
            "fax_number": "402-472-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVITZ",
        "first_name": "JOSEPH",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NE",
            "license": "5588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "5840",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078998500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachery Baumfalk, OD
• Amelia J Baumgardner, AUD
• Cole Baumgartner
• Jennifer Bausch, PT, DPT
• Timothy Bronson Bausch, DPT
• Htoo Htoo Baw
• Claire Savera Baweja, DNP, APRN, FNP-C
• Kimberly Bax, BSNRN
• Kelsey Lynn Baxa, NP
• David Albert Baxter III, MD

• Oral and Maxillofacial Surgery (Dentist) in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.