Christian Kimball Bahr, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7355764-9923 Issued in UT

Practice address

460 S 400 E
Bountiful, UT 84010-4975

Phone

(801) 295-5586

Fax

(801) 292-5342

NPI assigned

Feb 12, 2009

Last updated

Nov 17, 2009By the provider in NPPES

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

Enrolled in UT

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert D. Hazen D.D.S., PC

  • General Practice Dentistry
  • Bountiful, UT
  • NPI 1518089960
  NPD (past)

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1730328865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WOOD HOLLOW WAY",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840101226",
            "telephone_number": "801-292-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 S 400 E",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104975",
            "telephone_number": "801-295-5586",
            "fax_number": "801-292-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHR",
        "first_name": "CHRISTIAN",
        "middle_name": "KIMBALL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7355764-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Axia International LLC (Life Health Centers)
• David L Badham, PAC
• Hayleigh Madison Bagnoud
• Bahr Dermatology PC
• Brooks Bahr, M.D.
• Andrea Bailey, LCSW
• Madison Bailey
• Marlee Bair
• Anthony J Baird, DDS
• Jessica Baird

• General Practice Dentistry in Bountiful, UT
• Providers in Bountiful, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.