Douglas M Bauer DDS,PA

Primary specialty

DentistTaxonomy code 122300000X

License

8912 Issued in MN

Legal business name

DOUGLAS M BAUER DDS,PA

Doing business as

oak cliff dental care

Practice address

4640 Nicols Rd
Suite 100
Eagan, MN 55122-2306

Phone

(651) 454-1414

Fax

(651) 454-7987

NPI assigned

Nov 20, 2006

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Martin Bauer, DDSNPI 1013081355

Title

Dentist

Phone

(651) 454-1414

Specialties & licenses 1

Addresses

Other names 1

• oak cliff dental care Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Martin Bauer, DDS

  • Dentist
  • Eagan, MN
  • NPI 1013081355
  NPD (past) Authorized official
• Mari Bellmont, DDS

  • Dentist
  • Eagan, MN
  • NPI 1942403936
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1619041969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 NICOLS RD",
            "address_2": "SUITE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222306",
            "telephone_number": "651-454-1414",
            "fax_number": "651-454-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 NICOLS RD",
            "address_2": "SUITE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222306",
            "telephone_number": "651-454-1414",
            "fax_number": "651-454-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS M BAUER DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "651-454-1414",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "8912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "oak cliff dental care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kianna Marie Donnellan, PA-C
• Maureen Anne Gleason Donohue, MA, CCC-SLP
• Elizabeth Marie Dorn, CNP
• Brittany Ann Dougherty
• Taylor Dougherty
• Katherine Downing
• Patrick Doyle, PH.D., L.P.
• Dr Brecke Counseling Group
• Dr Gerald W Rauchwarter DDS LLC
• Dr. Kim Leis-Keeling, LLC (Eagan Sports Chiropractic & Wellness Center)

• Dentist in Eagan, MN
• Providers in Eagan, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.