Active NPI
Trent Bauer, DDS
- General Practice Dentistry
- Casper, WY
National Provider Identifier
1437602182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1441
- Practice address
- 1347 S Beverly St
Casper, WY 82609-4133 - Phone
- (307) 577-0577
- NPI assigned
- Jul 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1441 | WY | Primary |
Addresses
Primary practice location
1347 S Beverly St
Casper, WY 82609-4133
Mailing address
1347 S Beverly Street
Casper, WY 82609
Phone (307) 577-0577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1441 | WY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teeth R US | Past | Accepting new patients | |
| Oil City Dental LLC | General Practice | 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 and National Provider Directory roles.
-
- Dentist
- Casper, WY
- NPI 1609202118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1437602182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1347 S BEVERLY STREET",
"city": "CASPER",
"state": "WY",
"postal_code": "82609",
"telephone_number": "307-577-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1347 S BEVERLY ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826094133",
"telephone_number": "307-577-0577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "TRENT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-29",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WY",
"license": "1441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.