Active NPI
Robert Baehner, DDS
- Dentist
- Avon, IN
National Provider Identifier
1396965158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12010135A
- Practice address
- 10944 Rockville Road
Avon, IN 46123 - Phone
- (317) 273-0073
- NPI assigned
- Apr 26, 2007
- Last updated
- Sep 22, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12010135A | IN | Primary |
Addresses
Primary practice location
10944 Rockville Road
Avon, IN 46123
Mailing address
10944 Rockville Road
Avon, IN 46123
Phone (317) 273-0073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161019000290 | IN | Order and Referring Only - Dentist | 7810285129 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onhealthcare, LLC | Dentist | Past | Accepting new patients |
| Onhealthcare LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1396965158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10944 ROCKVILLE ROAD",
"city": "AVON",
"state": "IN",
"postal_code": "46123",
"telephone_number": "317-273-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10944 ROCKVILLE ROAD",
"city": "AVON",
"state": "IN",
"postal_code": "46123",
"telephone_number": "317-273-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAEHNER",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12010135A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.