Active NPI
David Gene Bauman, D.D.S.
- Pediatric Dentistry
- Modesto, CA
National Provider Identifier
1891801502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 34815
- Practice address
- 1213 Coffee Rd
Suite G
Modesto, CA 95355-4229 - Phone
- (209) 575-9501
- Fax
- (209) 575-9502
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 34815 | CA | Primary |
Addresses
Primary practice location
1213 Coffee Rd
Suite G
Modesto, CA 95355-4229
Mailing address
1213 Coffee Rd
Suite G
Modesto, CA 95355-4229
Phone (209) 575-9501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Arreguin DDS, PC | 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.
-
- General Practice Dentistry
- Modesto, CA
- NPI 1467341545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891801502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 COFFEE RD",
"address_2": "SUITE G",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554229",
"telephone_number": "209-575-9501",
"fax_number": "209-575-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 COFFEE RD",
"address_2": "SUITE G",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554229",
"telephone_number": "209-575-9501",
"fax_number": "209-575-9502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMAN",
"first_name": "DAVID",
"middle_name": "GENE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "34815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.