Individual provider Active NPI

Daniel Bauer

  • Dentist
  • Franklin, TN
National Provider Identifier
1386376408
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11863 Issued in TN
Practice address
125 Cool Springs Blvd Ste 120
Franklin, TN 37067-6475
Phone
(615) 778-0902
Fax
(615) 550-5023
NPI assigned
Jun 28, 2022
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11863 TN Primary

Addresses

Primary practice location

125 Cool Springs Blvd Ste 120
Franklin, TN 37067-6475

Mailing address

125 Cool Springs Blvd Ste 120
Franklin, TN 37067-6475
Phone (615) 778-0902

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

LicenseStateTypeSpecialty
11863TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgical Institute, P.C. CurrentSince Jul 30, 2024 Accepting new patients
Alliance Medical Center, Inc. Past Accepting new patients
Oral Surgical Institute, P.C. PastSince Jul 3, 2022 Accepting new patients

Locations

125 Cool Springs Blvd
Ste 120
Franklin, TN 37067
Phone (615) 778-0902

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1386376408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COOL SPRINGS BLVD STE 120",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676475",
            "telephone_number": "615-778-0902",
            "fax_number": "615-550-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COOL SPRINGS BLVD STE 120",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676475",
            "telephone_number": "615-778-0902",
            "fax_number": "615-550-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.