Jeremy G. Bauer, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1436 Issued in AK

Practice address

2270 Nistler Rd
Delta Junction, AK 99737-0985

Phone

(907) 895-4274

Fax

(907) 895-4276

NPI assigned

Jul 19, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Molar Enterprise, Inc.

  • General Practice Dentistry
  • Delta Junction, AK
  • NPI 1730490996
  NPD (past)

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1659684652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 985",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997370985",
            "telephone_number": "907-895-4274",
            "fax_number": "907-895-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 NISTLER RD",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997370985",
            "telephone_number": "907-895-4274",
            "fax_number": "907-895-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JEREMY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Edgar Andreassen, D.O.
• Arctic Chiropractic Delta
• Arctic Chiropractic Delta
• Arctic Physical Therapy and Rehabilitation Delta Junction LLC
• Josephine Kay Barry, LPC
• Big Delta Rescue Inc
• Melissa Bunselmeier, DPT
• Christine Marie Carstens
• David Ciampa
• City of Delta Junction

• All providers in Delta Junction, AK
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.