NPIMap

Organization Active NPI

Neibauer Dental Care, P.C.

Doing business as Neibauer Dental Care - Bowie

  • General Practice Dentistry
  • Bowie, MD
National Provider Identifier
1285901801
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15871 Issued in MD
Legal business name
NEIBAUER DENTAL CARE, P.C.
Doing business as
Neibauer Dental Care - Bowie
Practice address
6141 Highbridge Rd
Bowie, MD 20715
Phone
(301) 801-6404
Fax
(301) 262-8609
NPI assigned
Nov 28, 2011
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
NEIBAUER DENTAL CARE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Ms. Jasmine Reardon
Title
Credential Coordinator
Phone
(217) 540-8330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 15871 MD Primary

Addresses

Primary practice location

6141 Highbridge Rd
Bowie, MD 20715

Mailing address

6141 Highbridge Rd
Bowie, MD 20715
Phone (301) 801-6404

Other names 1

  • Neibauer Dental Care - Bowie Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Neibauer Dental Care PC30 organizations share this tax ID, including this one
Part of
Neibauer Dental Care PC

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

6141 High Bridge Rd
Bowie, MD 20720
Phone (301) 262-8024

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1285901801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 HIGHBRIDGE RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20715",
            "telephone_number": "301-801-6404",
            "fax_number": "301-262-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 HIGHBRIDGE RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20715",
            "telephone_number": "301-801-6404",
            "fax_number": "301-262-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIBAUER DENTAL CARE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEIBAUER DENTAL CARE, P.C.",
        "enumeration_date": "2011-11-28",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "CREDENTIAL COORDINATOR",
        "authorized_official_telephone_number": "217-540-8330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neibauer Dental Care - Bowie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.