Individual provider Active NPI

Darin M. Bach, D.D.S.

  • Dentist
  • Watertown, SD
National Provider Identifier
1407838741
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
M936 Issued in SD
Practice address
600 4TH St NE
Suite 207
Watertown, SD 57201-1898
Phone
(605) 882-0747
Fax
(605) 882-2196
NPI assigned
Nov 14, 2005
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X M936 SD Primary

Addresses

Primary practice location

600 4TH St NE
Suite 207
Watertown, SD 57201-1898

Mailing address

600 4TH St NE
Suite 207
Watertown, SD 57201-1898
Phone (605) 882-0747

Other identifiers 1

IdentifierTypeStateIssuer
1407838741OtherSD460461487

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address secure@watertowndentalcare.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 6, 2017 through Jun 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Dentistry PLLC Current Accepting new patients
Beyond Dentistry PLLC Current Accepting new patients

Locations

600 4th St NE
Ste 207
Watertown, SD 57201
Phone (605) 882-0747

Interoperability endpoints

  • Direct secure messaging: secure@watertowndentalcare.com

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1407838741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 4TH ST NE",
            "address_2": "SUITE 207",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011898",
            "telephone_number": "605-882-0747",
            "fax_number": "605-882-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 4TH ST NE",
            "address_2": "SUITE 207",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011898",
            "telephone_number": "605-882-0747",
            "fax_number": "605-882-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "DARIN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "460461487",
            "identifier": "1407838741",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "secure@watertowndentalcare.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "data exchange",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "600 4th St NE",
            "address_2": "Suite 207",
            "city": "Watertown",
            "state": "SD",
            "country_code": "US",
            "postal_code": "572011898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

Verify at the official NPI Registry.