Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205933926 Individual Practitioner Male Practitioner

Dr. Kenneth Roger Baumgartner , DDS

Dentist - General Practice • Fort Bragg, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Baumgartner, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Bragg, CA. Practice services are available at 18175 N HIGHWAY ONE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18175 N Highway One

Fort Bragg, CA 95437

Telephone 7079640440
Fax 7079648373

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Bragg, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Fort Bragg, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 34056

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
B34056 (CA)
Commercial Insurance / Payer ID Bcbs
DS034056
Commercial Insurance / Payer ID United Concordia
825575

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 18175 N HIGHWAY ONE, FORT BRAGG, CA 95437 (Tel: 7079640440)

📍
Updated Business Mailing Address July 08, 2007

Registered at 18175 N HIGHWAY ONE, FORT BRAGG, CA 95437 (Tel: 7079640440)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH BAUMGARTNER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #34056 in CA)

🟢
Initial NPI Registration & Enumeration September 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205933926
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

18175 N Highway One

Fort Bragg, CA 95437

Phone: 7079640440

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.