Organization Active NPI

Jeffrey C Bauer DMD, PC

  • General Practice Dentistry
  • Bluffton, SC
National Provider Identifier
1891069944
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DGD4574GD Issued in SC
Legal business name
JEFFREY C BAUER DMD, PC
Practice address
19 Promenade St
Unit 201
Bluffton, SC 29910-7037
Phone
(843) 757-2222
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Mrs. Gretchen Mann Bauer
Title
Cfo
Phone
(843) 757-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DGD4574GD SC Primary

Addresses

Primary practice location

19 Promenade St
Unit 201
Bluffton, SC 29910-7037

Mailing address

19 Promenade St
Unit 201
Bluffton, SC 29910-7037
Phone (843) 757-2222

National Provider Directory

National Provider Directory

Locations

19 Promenade St
#201
Bluffton, SC 29910
Phone (843) 707-7915

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1891069944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PROMENADE ST",
            "address_2": "UNIT 201",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107037",
            "telephone_number": "843-757-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PROMENADE ST",
            "address_2": "UNIT 201",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107037",
            "telephone_number": "843-757-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C BAUER DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "MANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-757-2222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD4574GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.