Active NPI
David Mark Bauer, D.D.S.
- General Practice Dentistry
- Fremont, CA
National Provider Identifier
1992832778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 36644
- Practice address
- 38080 Martha Ave
Suite B
Fremont, CA 94536-3809 - Phone
- (510) 790-3900
- Fax
- (510) 790-1077
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 36644 | CA | Primary |
Addresses
Primary practice location
38080 Martha Ave
Suite B
Fremont, CA 94536-3809
Mailing address
38080 Martha Ave
Suite B
Fremont, CA 94536-3809
Phone (510) 790-3900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36644 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David M. Bauer, D.D.S. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Fremont, CA
- NPI 1053722447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992832778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38080 MARTHA AVE",
"address_2": "SUITE B",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363809",
"telephone_number": "510-790-3900",
"fax_number": "510-790-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38080 MARTHA AVE",
"address_2": "SUITE B",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363809",
"telephone_number": "510-790-3900",
"fax_number": "510-790-1077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "DAVID",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "36644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.