Organization Active NPI

Victor H Bauer DDS PLLC

Doing business as Family Dental Care of Bellevue

  • General Practice Dentistry
  • Bellevue, WA
National Provider Identifier
1760191134
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VICTOR H BAUER DDS PLLC
Doing business as
Family Dental Care of Bellevue
Practice address
4100 Factoria Blvd SE Ste a
Bellevue, WA 98006-1262
Phone
(206) 295-5721
NPI assigned
Nov 15, 2022
Last updated
Jan 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Dr. Victor H Bauer, DDSNPI 1487271425
Title
Owner
Phone
(206) 295-5721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4100 Factoria Blvd SE Ste a
Bellevue, WA 98006-1262

Mailing address

4100 Factoria Blvd SE Ste a
Bellevue, WA 98006-1262
Phone (206) 295-5721

Other names 1

  • Family Dental Care of Bellevue Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1760191134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 FACTORIA BLVD SE STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061262",
            "telephone_number": "206-295-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 FACTORIA BLVD SE STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061262",
            "telephone_number": "206-295-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR H BAUER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-295-5721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care of Bellevue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Dental Care of Bellevue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.