Individual provider Active NPI

David Charles Bauer, D.C.

  • Chiropractor
  • Atlantic City, NJ
National Provider Identifier
1407940539
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00625700 Issued in NJ
Practice address
4712 Ventnor Ave
Atlantic City, NJ 08401-5654
Phone
(609) 231-1788
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00625700 NJ Primary

Addresses

Primary practice location

4712 Ventnor Ave
Atlantic City, NJ 08401-5654

Mailing address

701 Moorlyn Ter
Ocean City, NJ 08226-3628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080821000179 NJ Practitioner - Chiropractic 0749374460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Pantano and Rossi Chiropractic Center PAGroup PAC ID 9537206966, 7 clinicians

Practice addresses (Care Compare)

1128 Atlantic Ave
Atlantic City, NJ 08401-4803
Phone (609) 428-6990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pantano & Rossi Chiropractic Center PA Chiropractor CurrentSince Oct 25, 2024 Accepting new patients
Chiropractic and Rehab Exercise Center of South Jersey, Ac, L.L.C Chiropractor CurrentSince Oct 1, 2011 Accepting new patients
Chiropractic and Rehab Exercise Center Carecenter of S Jersey North Past Accepting new patients

Locations

1128 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 428-6990

1937 Haddonfield Berlin Rd
Cherry Hill, NJ 08003
Phone (856) 616-0610

300 Philadelphia Ave
Egg Harbor Cy, NJ 08215
Phone (609) 965-5533

1701 New Rd
Northfield, NJ 08225
Phone (609) 272-1150

623 Tilton Rd
Northfield, NJ 08225
Phone (609) 645-8954

Organizations & group practices 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407940539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MOORLYN TER",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 VENTNOR AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084015654",
            "telephone_number": "609-231-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00625700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.