Philippe Bautista, DMD
NPI 1053423301 · Pediatric Dentistry · Jeffersonville, IN
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Philippe Bautista, DMD is a Pediatric Dentistry provider in Jeffersonville, IN (NPI 1053423301).
Provider details
- NPI number
- 1053423301
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12010902A (IN)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2023-12-06
- Certified
- 2023-12-06
Frequently asked questions
- What is Philippe Bautista's NPI number?
- Philippe Bautista's National Provider Identifier (NPI) is 1053423301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Philippe Bautista's specialty?
- Philippe Bautista is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Philippe Bautista located?
- Philippe Bautista's practice location on file with NPPES is 434 Patrol Rd Unit 210, Jeffersonville, IN 47130-7718.
- What is Philippe Bautista's phone number?
- The practice phone number listed in the NPPES registry for Philippe Bautista is (812) 582-7255.
- Does Philippe Bautista accept Medicare?
- Philippe Bautista is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Philippe Bautista's NPI active?
- Yes — Philippe Bautista's NPI (1053423301) is active in the NPPES registry as of the last update on 2023-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.