KENNETH ROGER BAUMGARTNER DDS
NPI 1205933926
Dentist - General Practice in Fort Bragg, CA

Q: What is Kenneth Baumgartner's NPI number?

The NPI number for Kenneth Baumgartner is 1205933926. It was assigned to this individual provider in the NPPES registry on September 17, 2006. The provider is also known as Ken Baumgartner Dds.

Q: What is Kenneth Baumgartner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 17, 2006

18175 N HIGHWAY ONE, FORT BRAGG, CA 95437(707) 964-0440(707) 964-8373 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth Roger Baumgartner Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH ROGER BAUMGARTNER DDS (NPI 1205933926) is an individual general practice provider in Fort Bragg, California, licensed in California (34056) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1205933926

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKENNETH ROGER BAUMGARTNERCredential: DDS

Location Address18175 N HIGHWAY ONEFort Bragg, CA 95437

Mailing Address18175 N Highway OneFort Bragg, CA 95437 · (707) 964-0440 · Fax (707) 964-8373

Phone(707) 964-0440

Fax(707) 964-8373

Sole ProprietorNo

Enumeration DateSeptember 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205933926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 34056

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

18175 N HIGHWAY ONE, Fort Bragg, CA 95437

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Other Names 1

Other Name (5)Ken Baumgartner Dds

Other Identifiers 3

Other825575United Concordia

OtherDS034056Bcbs

MedicaidB34056CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Baumgartner's NPI number?

The NPI number for Kenneth Baumgartner is 1205933926. It was assigned to this individual provider in the NPPES registry on September 17, 2006. The provider is also known as Ken Baumgartner Dds.

Where is Kenneth Baumgartner located?

Kenneth Baumgartner practices at 18175 N Highway One, Fort Bragg, CA 95437. The listed phone number is (707) 964-0440.

What is Kenneth Baumgartner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenneth Baumgartner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.