Individual provider Active NPI

Angela Marie Bauer Williams, D.D.S.

  • General Practice Dentistry
  • Cambridge, WI
National Provider Identifier
1679698757
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5402-015 Issued in WI
Practice address
710 Katie CT
Cambridge, WI 53523-9308
Phone
(608) 423-3615
Fax
(608) 423-4275
NPI assigned
Mar 20, 2007
Last updated
Apr 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5402-015 WI Primary

Addresses

Primary practice location

710 Katie CT
Cambridge, WI 53523-9308

Mailing address

710 Katie CT
Cambridge, WI 53523-9308
Phone (608) 423-3615

Other names 1

  • Angela Marie Bauer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20150210000096 WI Practitioner - Oral Surgery 3274751847 Practice locations: Cambridge, WI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5402-015WIMDGeneral Practice Dentistry

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1679698757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 KATIE CT",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535239308",
            "telephone_number": "608-423-3615",
            "fax_number": "608-423-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 KATIE CT",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535239308",
            "telephone_number": "608-423-3615",
            "fax_number": "608-423-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER WILLIAMS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5402-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BAUER",
            "middle_name": "MARIE",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge, WI

Sources for this page

Verify at the official NPI Registry.