Douglas M Bauer DDS,PA
Douglas M Bauer DDS,PA is a healthcare organization registered as Dentist in Eagan, MN, holding Type 2 (organization) NPI 1619041969 since 2006. The authorized official on file is Douglas Bauer, Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619041969 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Douglas M Bauer DDS,PA |
| Other name | <Unavail> |
| Practice address | 4640 NICOLS RD, SUITE 100, Eagan, MN, 55122 |
| Phone | 6514541414 |
| Fax | 6514547987 |
| Enumeration date | 2006-11-20 |
| Last updated in NPPES | 2008-06-23 |
Authorized official
| Name | Douglas Bauer |
|---|---|
| Title | Dentist |
| Phone | 6514541414 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 8912 | MN |
Copy-ready billing details
Provider: Douglas M Bauer DDS,PA NPI: 1619041969 Taxonomy: 122300000X (Dentist) Address: 4640 NICOLS RD, SUITE 100, Eagan, MN, 55122
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1225095052 | Twin Cities Endodontic Specialists, P.A. | Organization | Endodontics | Eagan, MN |
| 1760449359 | Kenneth Zucker | Individual | Endodontics | Eagan, MN |
| 1013081355 | Douglas Bauer | Individual | Dentist | Eagan, MN |
| 1942403936 | Mari Bellmont | Individual | Dentist | Eagan, MN |
Verify this record
Cross-check NPI 1619041969 against the authoritative CMS record: view Douglas M Bauer DDS,PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-06-23.