MR. KENNETH JAMES BAUER D.D.S
NPI 1356506596
Dentist - General Practice in Santa Rosa, CA

Q: What is Kenneth Bauer's NPI number?

The NPI number for Kenneth Bauer is 1356506596. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Q: What is Kenneth Bauer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Bauer was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 28, 2008

55 MISSION CIR STE 107, SANTA ROSA, CA 95409(707) 538-1086(707) 538-0934 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Kenneth James Bauer D.d.s NPPES

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

MR. KENNETH JAMES BAUER D.D.S (NPI 1356506596) is an individual general practice provider in Santa Rosa, California, licensed in California (34668) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1356506596

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. KENNETH JAMES BAUERCredential: D.D.S

Location Address55 MISSION CIR STE 107Santa Rosa, CA 95409-5372

Mailing Address55 Mission Cir Ste 107Santa Rosa, CA 95409-5372 · (707) 538-1086 · Fax (707) 538-0934

Phone(707) 538-1086

Fax(707) 538-0934

Sole ProprietorYes

Enumeration DateJuly 28, 2008

✔ NPI 1356506596 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 · 34668

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.

55 MISSION CIR STE 107, Santa Rosa, CA 95409

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH J. BAUER, DDS, A PROFESSIONAL CORPORATION

Dentist (General Practice)

55 MISSION CIR STE 107
SANTA ROSA, CA 95409

Sonoma County (707) 538-1086

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 Bauer's NPI number?

The NPI number for Kenneth Bauer is 1356506596. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Kenneth Bauer located?

Kenneth Bauer practices at 55 Mission Cir Ste 107, Santa Rosa, CA 95409. The listed phone number is (707) 538-1086.

What is Kenneth Bauer'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 Bauer was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.