Individual provider Active NPI

Christian Bauer

  • General Practice Dentistry
  • Hales Corners, WI
National Provider Identifier
1447317599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5158 Issued in WI
Practice address
5151 S 108TH St
Hales Corners, WI 53130-1328
Phone
(414) 427-0900
Fax
(414) 427-1828
NPI assigned
Jan 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
General Practice Dentistry 1223G0001X 5158 WI Primary

Addresses

Primary practice location

5151 S 108TH St
Hales Corners, WI 53130-1328

Mailing address

5151 S 108TH St
Hales Corners, WI 53130-1328
Phone (414) 427-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160127000805 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8527361492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5158WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Dental Group, S.C. PastSince Mar 20, 2022 Accepting new patients

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": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447317599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 S 108TH ST",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301328",
            "telephone_number": "414-427-0900",
            "fax_number": "414-427-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 S 108TH ST",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301328",
            "telephone_number": "414-427-0900",
            "fax_number": "414-427-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hales Corners, WI

Sources for this page

Verify at the official NPI Registry.