Gregory E. Bauman, DDS, PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020416 Issued in MI

Legal business name

GREGORY E. BAUMAN, DDS, PLC

Practice address

1600 Niles Ave
Saint Joseph, MI 49085-1609

Phone

(269) 983-1812

Fax

(269) 983-3282

NPI assigned

Jan 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Edward Bauman

Title

Dentist

Phone

(269) 983-1812

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1942622014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NILES AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851609",
            "telephone_number": "269-983-1812",
            "fax_number": "269-983-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NILES AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851609",
            "telephone_number": "269-983-1812",
            "fax_number": "269-983-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY E. BAUMAN, DDS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "BAUMAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "269-983-1812",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Surgery Center LLC
• Mark H Greenberg, MD
• Adrienne Greene, DPT
• Edward Glendon Greene, MPH, PT
• Samuel Z Gregor, CRNA
• Grace Elizabeth Greig, MD
• Amelia Griffin
• Marilyn Jane Griffiths, T.L.L.P.
• Rhonda Y Griffiths, N.P.
• Melinda Joy Grimm

• General Practice Dentistry in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.