Kurt Edward Bauer, DILP. AC., MSOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

548-055 Issued in WI

Practice address

285 Forest Grove Dr
Suite 208
Pewaukee, WI 53072-3782

Phone

(262) 691-1746

Fax

(262) 691-1862

NPI assigned

Jun 5, 2008

Last updated

Jun 5, 2008By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1891954822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 FOREST GROVE DR",
            "address_2": "SUITE 208",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723782",
            "telephone_number": "262-691-1746",
            "fax_number": "262-691-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 FOREST GROVE DR",
            "address_2": "SUITE 208",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723782",
            "telephone_number": "262-691-1746",
            "fax_number": "262-691-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "KURT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "DILP. AC., MSOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "548-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.