Brittany Anne Bauer, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019.033838 Issued in IL

Practice address

6446 W 127TH St FL 2
Palos Heights, IL 60463-2248

Phone

(708) 263-6708

NPI assigned

May 15, 2020

Sex

Female

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 IN

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

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1740802446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6446 W 127TH ST FL 2",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632248",
            "telephone_number": "708-263-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6446 W 127TH ST FL 2",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632248",
            "telephone_number": "708-263-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "BRITTANY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019.033838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Lynn Barbee, LCSW
• Giselle Barraza
• Anna Bartoszek, LCSW
• Ahmad Sayam Bashir, M.D.
• Maria Bastas
• Michael J Bautista, M.D.
• William J Baylis, D.O.
• Beata I Styka MD SC
• Laura Ann Beaumont, PSYD
• John Paul Beaupied, DPM

• Pediatric Dentistry in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.