Justin Bauer, DMD

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

10144761-9922 Issued in UT

Practice address

241 W Forest St
Brigham City, UT 84302

Phone

(435) 723-6120

NPI assigned

Aug 28, 2016

Last updated

Aug 1, 2019By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Adams Arch Dental LLC

  • General Practice Dentistry
  • Brigham City, UT
  • NPI 1841787371
  NPD (past)
• Jody W. Adams DDS PC

  • General Practice Dentistry
  • Brigham City, UT
  • NPI 1215204573
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1477009678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W FOREST ST",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022022",
            "telephone_number": "435-723-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W FOREST ST",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "84302",
            "telephone_number": "435-723-6120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Cushing",
            "state": "OK",
            "postal_code": "740233432",
            "country_code": "US",
            "telephone_number": "918-285-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "UT",
            "license": "10144761-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Bartholomew
• Arissa Kathlyn Bartz
• Richard John Bartz
• Bonnie Bash
• Ryan Bate
• Denver Bauter
• Katie Baxter
• Isabella Beagley
• Nancy Beal, MSNED, APRN, FNP-C
• Bear Lake Community Health Center, Inc. (Box Elder Community Health Center)

• Public Health Dentistry in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Public Health Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.