Individual provider Active NPI

Michael Stanley Baus, D.D.S.

  • General Practice Dentistry
  • Chilton, WI
National Provider Identifier
1780081083
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001454-15 Issued in WI
Practice address
15 E Main St
PO 71
Chilton, WI 53014-1427
Phone
(920) 849-9341
NPI assigned
Dec 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5001454-15 WI Primary

Addresses

Primary practice location

15 E Main St
PO 71
Chilton, WI 53014-1427

Mailing address

15 E Main St
PO 71
Chilton, WI 53014-1427
Phone (920) 849-9341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20160223000203 WI Order and Referring Only - DentistPractitioner - Dentist 4587969936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5001454-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S Baus DDS SC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1780081083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E MAIN ST",
            "address_2": "PO 71",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141427",
            "telephone_number": "920-849-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E MAIN ST",
            "address_2": "PO 71",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141427",
            "telephone_number": "920-849-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUS",
        "first_name": "MICHAEL",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001454-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chilton, WI

Sources for this page

Verify at the official NPI Registry.