Annette Marie Bauer, DDS MD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30020801 Issued in OH

Practice address

848 Scioto St
Urbana, OH 43078-2255

Phone

(937) 653-7623

Fax

(937) 653-6916

NPI assigned

Sep 20, 2006

Last updated

Jan 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Am Bauer DDS & JT Beck DDS & Associates, LLC

  • Dentist
  • Urbana, OH
  • NPI 1992798177
  Authorized official Same address or phone

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1538266366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 SCIOTO ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782255",
            "telephone_number": "937-653-7623",
            "fax_number": "937-653-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 SCIOTO ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782255",
            "telephone_number": "937-653-7623",
            "fax_number": "937-653-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0199177",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0301275",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jed Alan Barger
• Kimberly Sue Bartee
• Marie Y Barth
• Madelyn Bartsch, PA-C
• Huma A Bashir, PCC-S
• Timothy Howard Baughman I
• Caroline Baum, RN
• Loren Baum
• Patricia Beavers
• Justin Taylor Beck, D.D.S

• General Practice Dentistry in Urbana, OH
• Providers in Urbana, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.