Christian A. Bader, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44652 Issued in CA

Practice address

630 S Fairmont Ave
Ste D.
Lodi, CA 95240-3803

Phone

(209) 333-3388

NPI assigned

Mar 9, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: christian.bader.1@19210.direct.athenahealth.com

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.

• Franklin Miyasaki and Rasi Professional Dental Corporation

  • Dental Clinic/Center
  • Lodi, CA
  • NPI 1790253524
  NPD (past)
• Michael C Ditolla DDS Professional Dental Corporation

  • General Practice Dentistry
  • Lodi, CA
  • NPI 1619543568
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992836829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S FAIRMONT AVE",
            "address_2": "STE D.",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403803",
            "telephone_number": "209-333-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S FAIRMONT AVE",
            "address_2": "STE D.",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403803",
            "telephone_number": "209-333-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADER",
        "first_name": "CHRISTIAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Awesomfit, Inc
• Funto Ayanleke, DDS
• Shelly Marie Azevedo, RDH
• Desirae Marie Azua, DC
• Lise Helen Bachman-Karnes, MS
• Hamid Bahramand
• Joseph Bain
• Jordan Baker, DO
• Linda Susan Baker
• Michael Ray Ballance, PT

• General Practice Dentistry in Lodi, CA
• Providers in Lodi, 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 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.

Verify at the official NPI Registry.