Tyler E Bauer DMD PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

TYLER E BAUER DMD PC

Practice address

1021 S 40TH Ave Ste 3
Yakima, WA 98908-3880

Phone

(509) 966-7350

NPI assigned

Sep 4, 2019

Organization subpart

No

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

Authorized official

Name

Tyler Bauer, DMDNPI 1760512370

Title

Owner

Phone

(509) 966-7350

Specialties & licenses 1

Addresses

Other names 1

• Bauer Family Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler E Bauer, D.M.D

  • General Practice Dentistry
  • Yakima, WA
  • NPI 1760512370
  NPD Authorized official
• Joshua Matthew Fletcher, DDS

  • Dentist
  • Yakima, WA
  • NPI 1235803735
  NPD

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1639728504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S 40TH AVE STE 3",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083880",
            "telephone_number": "509-966-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S 40TH AVE STE 3",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083880",
            "telephone_number": "509-966-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER E BAUER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-966-7350",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bauer Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Jean Turner
• Sabrina Noel Turner, DO
• William Turner, MHC.LH.61689428
• Anne D Tweedy, ARNP
• Richard D Twiss, MD
• Crystal M Tyree, MSW, SWAICL
• Hannah Udell
• Mindy A Udell, M.D.
• Mark Scott Uhlman, M.D.
• Matthew Allen Uhlman, M.D.

• Customized Equipment (DME) in Yakima, WA
• Providers in Yakima, WA by specialty
• Customized Equipment (DME) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.