Individual provider Active NPI

Amber N Bauer, DDS

  • Dentist
  • Wheeling, WV
National Provider Identifier
1396971313
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-022984 Issued in OH
Practice address
34 Carmel Rd
Wheeling, WV 26003-5919
Phone
(304) 281-7810
NPI assigned
Jun 4, 2009
Last updated
Jun 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-022984 OH Primary

Addresses

Primary practice location

34 Carmel Rd
Wheeling, WV 26003-5919

Mailing address

34 Carmel Rd
Wheeling, WV 26003-5919
Phone (304) 281-7810

Other identifiers 1

IdentifierTypeStateIssuer
30-022984OtherOH30-022984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150421001067 OH Order and Referring Only - DentistPractitioner - Dentist 4688891005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-022984OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Hills Health Services PastSince Apr 3, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amber.bauer@ohhs.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ohio Hills Health ServicesBarnesville, OH, CCN 361859 Federally qualified health center Corporate Director
W-2 Managing Employee
Jul 1, 2009
Jul 1, 2009
Freeport Family Health CenterFreeport, OH, CCN 361828 Federally qualified health center Corporate Director
W-2 Managing Employee
Jul 1, 2009
Jul 1, 2009
Quaker City Family Health CenterQuaker City, OH, CCN 361033 Federally qualified health center Corporate Director
W-2 Managing Employee
Jul 1, 2009
Jul 1, 2009
Ohio Hills Blemont Career CenterSaint Clairsville, OH, CCN D21005 Federally qualified health center Corporate Officer Apr 3, 2023

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1396971313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CARMEL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035919",
            "telephone_number": "304-281-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CARMEL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035919",
            "telephone_number": "304-281-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "AMBER",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-022984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "30-022984",
            "identifier": "30-022984",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.