Robert Bang, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43114 Issued in CA

Practice address

911 W. Perdew Ave.
Ridgecrest, CA 93555-5642

Phone

(760) 446-8688

Fax

(760) 446-8688

NPI assigned

Jul 17, 2006

Last updated

Dec 29, 2021By 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

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

Practice roles

Locations

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.

• Robert Bang, D.D.S., Inc.

  dba Children's Dental Group

  • General Practice Dentistry
  • Ridgecrest, CA
  • NPI 1538228341
  NPD Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1942228036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 PERDEW AVE",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555642",
            "telephone_number": "760-446-8688",
            "fax_number": "760-446-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W. PERDEW AVE.",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555642",
            "telephone_number": "760-446-8688",
            "fax_number": "760-446-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANG",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "G92759-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY FAMILIES",
            "identifier": "B43114-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1524471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avinash M. Mondkar M.D.,a Medical Corporation
• Bachman Family Dentistry, a Partnership
• Michael E Bachman, DDS
• Michael Eugene Bachman Jr., D.D.S.
• Nancy Ball
• Michael Barbee
• Craig Richard Bare, D.D.S.
• Barbara N Bass, M.D.
• Morad Batarseh, R.PH
• Nisreen Z Batarseh

• General Practice Dentistry in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.