Organization Active NPI

Gary Bauman, DDS, PA

  • General Practice Dentistry
  • Lutherville, MD
National Provider Identifier
1831296029
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MD9859 Issued in MD
Legal business name
GARY BAUMAN, DDS, PA
Practice address
1134 York Rd
Suite 213
Lutherville, MD 21093-6215
Phone
(410) 296-5650
Fax
(410) 296-0354
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary Bauman, D.D.S.NPI 1245646405
Title
President
Phone
(410) 296-5650

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 MD9859 MD Primary

Addresses

Primary practice location

1134 York Rd
Suite 213
Lutherville, MD 21093-6215

Mailing address

1134 York Rd
Suite 213
Lutherville, MD 21093-6215
Phone (410) 296-5650

Other names 1

  • Baltimore Center of Advanced Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1134 York Rd
Ste 213
Lutherville, MD 21093
Phone (410) 296-5650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831296029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 YORK RD",
            "address_2": "SUITE 213",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936215",
            "telephone_number": "410-296-5650",
            "fax_number": "410-296-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 YORK RD",
            "address_2": "SUITE 213",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936215",
            "telephone_number": "410-296-5650",
            "fax_number": "410-296-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY BAUMAN, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-296-5650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "MD9859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baltimore Center of Advanced Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.