Individual provider Active NPI

Emily J. Baker-Damron, DDS

  • Dentist
  • Pickerington, OH
National Provider Identifier
1003045865
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30023005 Issued in OH
Practice address
164 Clint Dr
Pickerington, OH 43147-7994
Phone
(614) 367-1740
Fax
(614) 367-1760
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30023005 OH Primary

Addresses

Primary practice location

164 Clint Dr
Pickerington, OH 43147-7994

Mailing address

164 Clint Dr
Pickerington, OH 43147-7994
Phone (614) 367-1740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30023005OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
First City Family and Cosmetic Dentistry Dentist Current Accepting new patients
Ohio Dental Professionals Workman, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1003045865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 CLINT DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477994",
            "telephone_number": "614-367-1740",
            "fax_number": "614-367-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 CLINT DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477994",
            "telephone_number": "614-367-1740",
            "fax_number": "614-367-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER-DAMRON",
        "first_name": "EMILY",
        "middle_name": "J.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30023005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.