Jay Allen Bauer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1735 Issued in ND

Practice address

923 1St Street South
Carrington, ND 58421-0139

Phone

(701) 652-2801

Fax

(701) 652-2802

NPI assigned

Oct 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

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

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jay a Bauer DDS PC

  dba Carrington Family Dentistry

  • Dentist
  • Carrington, ND
  • NPI 1356649347
  Authorized official Same address or phone

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902988488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 139",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584210139",
            "telephone_number": "701-652-2801",
            "fax_number": "701-652-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 1ST STREET SOUTH",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584210139",
            "telephone_number": "701-652-2801",
            "fax_number": "701-652-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JAY",
        "middle_name": "ALLEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040949",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alpha Inc (Golden Acres Manor)
• Kali Anderson, DDS
• Aura Aesthetics & Hydration LLC
• James Barker
• Chaz James Bauer, DDS
• Kristin Cabler, PHARM.D.
• Carrington Drug Inc (Carrington Drug)
• Carrington Health Center (CHI St. Alexius Health Carrington)
• Carrington Health Center (CHI St. Alexius Health Carrington)
• Carrington Health Center (CHI St. Alexius Health Carrington)

• General Practice Dentistry in Carrington, ND
• Providers in Carrington, ND by specialty
• General Practice Dentistry in North Dakota

• 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.
• 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.