Bryan Bauer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019026380 Issued in IL

Practice address

531 E Roosevelt Rd
Suite 100
Wheaton, IL 60187-5583

Phone

(630) 665-5550

NPI assigned

Mar 7, 2007

Last updated

May 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bauer Dental and Orthodontics LTD

  • General Practice Dentistry
  • Wheaton, IL
  • NPI 1154452852
  NPD (past) Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1467583161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 ORCHARD RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897201",
            "telephone_number": "312-371-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 E ROOSEVELT RD",
            "address_2": "SUITE 100",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875583",
            "telephone_number": "630-665-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "BRYAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Bates
• Earvin Batitang
• Sherry Batteast
• Ioana Batzova, LPC, PEL
• Bauer Dental and Orthodontics LTD
• Laura A. Bauhof, PH.D.
• Edward Baumgarten
• Lindsay Noel Baumgartner, LPC
• Nina Francesca Bazzanella, M.S., CF-SLP
• Jane Beal, BA, MA, PHD

• General Practice Dentistry in Wheaton, IL
• Providers in Wheaton, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.