Individual provider Active NPI

Robert Baehner, DDS

  • Dentist
  • Avon, IN
National Provider Identifier
1396965158
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12010135A Issued in IN
Practice address
10944 Rockville Road
Avon, IN 46123
Phone
(317) 273-0073
NPI assigned
Apr 26, 2007
Last updated
Sep 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161019000290 IN Order and Referring Only - DentistPractitioner - Dentist 7810285129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.