Douglas Paul Baum, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5749 Issued in NE

Practice address

9240 Andermatt Dr Ste 3
Lincoln, NE 68526-9761

Phone

(402) 486-4050

Fax

(402) 486-4051

NPI assigned

Nov 13, 2006

Last updated

Oct 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1477625937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 ANDERMATT DR STE 3",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269761",
            "telephone_number": "402-486-4050",
            "fax_number": "402-486-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 ANDERMATT DR STE 3",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269761",
            "telephone_number": "402-486-4050",
            "fax_number": "402-486-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "DOUGLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "5749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025063900",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08348",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA MILITARY",
            "identifier": "885174",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan T. Bauer, D.C.
• Tessa Bauer
• Thomas G. Bauer, D.C.
• Jackie Lynn Bauersachs
• Nancy T Baugous, M.D.
• Jean Marie Baum, PA-C
• Jenna Marie Baum, M.A.
• Tina D Baum
• Hope Michelle Bauman, APRN-NP
• Suzie Bauman

• Dentist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.