Organization Active NPI

Reynold J. Baumstark DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Saginaw, MI
National Provider Identifier
1477860716
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2901010390 Issued in MI
Legal business name
REYNOLD J. BAUMSTARK DDS
Practice address
5605 Colony Dr N
Suite 1
Saginaw, MI 48638-5718
Phone
(989) 793-0353
NPI assigned
Sep 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Dr. Reynold Joseph Baumstark, D.D.S.
Title
President
Phone
(989) 793-0353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 2901010390 MI Primary

Addresses

Primary practice location

5605 Colony Dr N
Suite 1
Saginaw, MI 48638-5718

Mailing address

5605 Colony Dr N
Suite 1
Saginaw, MI 48638-5718
Phone (989) 793-0353

Other names 1

  • Reynold J Baumstark, D.D.S., PLLC Other name

National Provider Directory

National Provider Directory

Locations

5605 Colony Dr N
Ste 1
Saginaw, MI 48638
Phone (989) 401-1463

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1477860716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 COLONY DR N",
            "address_2": "SUITE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385718",
            "telephone_number": "989-793-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 COLONY DR N",
            "address_2": "SUITE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385718",
            "telephone_number": "989-793-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLD J. BAUMSTARK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "BAUMSTARK",
        "authorized_official_first_name": "REYNOLD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-793-0353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901010390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reynold J Baumstark, D.D.S., PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.