Jeff Bauer, D.D.S., PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JEFF BAUER, D.D.S., PLLC

Practice address

206 Meadow Mountain Dr
Waco, TX 76712-8162

Phone

(254) 666-6292

NPI assigned

Mar 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jeff A Bauer, DDS

Title

Owner

Phone

(254) 666-6292

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Alan Bauer, D.D.S.

  • General Practice Dentistry
  • Waco, TX
  • NPI 1578686689
  NPD (past)
• Taylor Runyan Gehring, D.D.S.

  • Dentist
  • Waco, TX
  • NPI 1538484571
  NPD (past)
• Theresa Lassetter, D.D.S

  • Dentist
  • Waco, TX
  • NPI 1770039406
  NPD (past)

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1336774546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MEADOW MOUNTAIN DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128162",
            "telephone_number": "254-666-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MEADOW MOUNTAIN DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128162",
            "telephone_number": "254-666-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF BAUER, D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-666-6292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Jarvis Jarvis, COTA
• Jasmine E. Khan (Jasmine Khan PhD, LPC)
• Jasmine Khan PHD
• Whitney B Jasso, AA
• Jayesh S. Patel, DDS, PA
• Jennifer Jefferson, LCSW
• Jeffrey T Manning MD PA
• Derrel Jeffrey, LCSW
• Patrick M Jenkins, CRNA
• Corey Jensen, LCSW

• Dental Clinic/Center in Waco, TX
• Providers in Waco, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.