NPIMap

Organization Active NPI

Am Bauer DDS & JT Beck DDS & Associates, LLC

  • Dentist
  • Urbana, OH
National Provider Identifier
1992798177
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14048 Issued in OH
Legal business name
AM BAUER DDS & JT BECK DDS & ASSOCIATES, LLC
Practice address
848 Scioto St
Urbana, OH 43078-2255
Phone
(937) 653-7623
Fax
(937) 653-6916
NPI assigned
Aug 23, 2005
Last updated
Jan 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Annette M. Bauer, D.D.S.NPI 1538266366
Title
President
Phone
(937) 653-7623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14048 OH Primary

Addresses

Primary practice location

848 Scioto St
Urbana, OH 43078-2255

Mailing address

848 Scioto St
Urbana, OH 43078-2255
Phone (937) 653-7623

Other identifiers 2

IdentifierTypeStateIssuer
0199177MedicaidOH
0301275MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1992798177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 SCIOTO ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782255",
            "telephone_number": "937-653-7623",
            "fax_number": "937-653-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 SCIOTO ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782255",
            "telephone_number": "937-653-7623",
            "fax_number": "937-653-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM BAUER DDS & JT BECK DDS & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-653-7623",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "14048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0199177",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0301275",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.