Patrick M Bauer, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

01588 Issued in MO

Practice address

1250 E Walnut Lawn St
Springfield, MO 65804-4202

Phone

(417) 883-3740

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Patrick M Bauer DDS Ms PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Springfield, MO
  • NPI 1316097504
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699894063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E WALNUT LAWN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044202",
            "telephone_number": "417-883-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E WALNUT LAWN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044202",
            "telephone_number": "417-883-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "PATRICK",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "01588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha C Bathon, PLPC
• Alicia Batten
• Karen Battjes
• Karilyn Anne Bauer, PT
• Nathan James Bauer, D.D.S.
• Sara Michelle Bauer, DDS
• Kristy Baugh, RDH
• Jane K. Baughman, M.A., CCC-SLP
• Brandi Baugus, CD
• Allicia D Baum, PSYD, LP

• Orthodontics and Dentofacial Orthopedics Dentistry in Springfield, MO
• Providers in Springfield, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.