Mark J. Bauman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26584 Issued in CA

Practice address

435 Zion St
Nevada City, CA 95959-2727

Phone

(530) 264-4743

Fax

(530) 265-8117

NPI assigned

Mar 29, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 20, 2015 through May 20, 2027

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700905791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ZION ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592727",
            "telephone_number": "530-264-4743",
            "fax_number": "530-265-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ZION ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592727",
            "telephone_number": "530-264-4743",
            "fax_number": "530-265-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B26584 01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Murial M Barkley-Aylmer, APCC
• Robert Owen Barnes, M.D.
• Michael Patrick Barrett, MBA, MSW, ASW
• Alyson Bassarik
• Dawn McDowell Bateman
• Brenna Beaton
• Mary Allgaier Beedle, MSN,APNP,FNP
• Jamie Bell, LMFT163605
• Monika Benitez, SCHOOL PSYCHOLOGY
• Jennifer Bente, CADC II

• General Practice Dentistry in Nevada City, CA
• Providers in Nevada City, CA by specialty
• General Practice Dentistry in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.