Organization Active NPI

Charles D. Bauer, D.D.S., P.C.

  • Dentist
  • Hastings, NE
National Provider Identifier
1427294289
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4565 Issued in NE
Legal business name
CHARLES D. BAUER, D.D.S., P.C.
Practice address
2115 N Kansas Ave
Suite #202
Hastings, NE 68901-2615
Phone
(402) 462-6410
Fax
(402) 462-4463
NPI assigned
Dec 29, 2008
Last updated
Apr 18, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARLES D. BAUER, D.D.S.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Mrs. Patty R Bassett
Title
Business Coordinator
Phone
(402) 462-6410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4565 NE Primary

Addresses

Primary practice location

2115 N Kansas Ave
Suite #202
Hastings, NE 68901-2615

Mailing address

2115 N Kansas Ave
Suite #202
Hastings, NE 68901-2615
Phone (402) 462-6410

Other identifiers 1

IdentifierTypeStateIssuer
1194739276OtherNPI

Other names 1

  • Charles D. Bauer, D.D.S. Other name

National Provider Directory

National Provider Directory
Part of
Dr Charles D Bauer

Locations

2115 N Kansas Ave
Ste 202
Hastings, NE 68901
Phone (402) 462-6410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1427294289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 N KANSAS AVE",
            "address_2": "SUITE #202",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012615",
            "telephone_number": "402-462-6410",
            "fax_number": "402-462-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 N KANSAS AVE",
            "address_2": "SUITE #202",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012615",
            "telephone_number": "402-462-6410",
            "fax_number": "402-462-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES D. BAUER, D.D.S., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLES D. BAUER, D.D.S.",
        "enumeration_date": "2008-12-29",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "402-462-6410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "4565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194739276",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles D. Bauer, D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.