Individual provider Active NPI

Madeline Bauer

  • General Practice Dentistry
  • Wray, CO
National Provider Identifier
1942138490
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00206609 Issued in CO
Practice address
336 Main St
Wray, CO 80758-1707
Phone
(970) 332-4817
NPI assigned
May 13, 2026
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 00206609 CO Primary

Addresses

Primary practice location

336 Main St
Wray, CO 80758-1707

Mailing address

29920 County Road 35
Wray, CO 80758-9363
Phone (605) 228-4692

Other practice location 1

900 S Ash St
Yuma, CO 80759-3012
Phone (970) 848-5777

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

State licenses

LicenseStateTypeSpecialty
00206609COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Family Dental, P.C. Past Accepting new patients
BGR Dental, PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1942138490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29920 COUNTY ROAD 35",
            "city": "WRAY",
            "state": "CO",
            "postal_code": "807589363",
            "telephone_number": "605-228-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 MAIN ST",
            "city": "WRAY",
            "state": "CO",
            "postal_code": "807581707",
            "telephone_number": "970-332-4817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Ash St",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "CO",
            "postal_code": "807593012",
            "country_code": "US",
            "telephone_number": "970-848-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MADELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00206609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wray, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.