Kenneth J. Bauer, DDS, A Professional Corporation
NPI 1114650207ActiveOrganization· Dentist, General Practice· Santa Rosa, CA
Dentist, General Practice in Santa Rosa, California, registered in NPPES in July 2022. The authorized official on file is Kenneth Bauer, DDS, President.
Overview
| NPI | 1114650207 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2022 |
| Last updated in NPPES | Jul 6, 2022 |
| Certified by provider | Jul 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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