Jon M Baumbauer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN7084 Issued in FL

Practice address

1329 E Tennessee St
Tallahassee, FL 32308-5107

Phone

(850) 878-7999

Fax

(850) 942-2681

NPI assigned

Oct 2, 2006

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 FL

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1821181835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E 3RD AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321693101",
            "telephone_number": "386-428-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 E TENNESSEE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085107",
            "telephone_number": "850-878-7999",
            "fax_number": "850-942-2681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 E 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "321693101",
            "country_code": "US",
            "telephone_number": "386-428-6491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMBAUER",
        "first_name": "JON",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN7084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Jean Baudoin D'Ajoux, RN
• Jesse Blake Bauer
• Kristy Lynn Bauer, MSW
• Alton Locksley Baugh Jr., PHARMD
• Bruce Ashley Baumann
• Venkata V Bavikati, MBBS, MPH
• Vedant Bawa, MBBS
• Emily Ann Baxley, PHARMD
• Jennifer Baxter
• Alexa Marie Bayer

• General Practice Dentistry in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.