Organization Active NPI

Kenneth E. Baird, M.D., P.a.

  • Clinic/Center
  • Carrollton, TX
National Provider Identifier
1003053703
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
H5658 Issued in TX
Legal business name
KENNETH E. BAIRD, M.D., P.A.
Practice address
3012 E Hebron Pkwy
Ste 110
Carrollton, TX 75010-4464
Phone
(214) 263-3234
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Dr. Kenneth E Baird, M.D.NPI 1194755256
Title
Physician
Phone
(214) 263-3234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X H5658 TX Primary

Addresses

Primary practice location

3012 E Hebron Pkwy
Ste 110
Carrollton, TX 75010-4464

Mailing address

3012 E Hebron Pkwy
Ste 110
Carrollton, TX 75010-4464
Phone (214) 263-3234

Other identifiers 1

IdentifierTypeStateIssuer
110489505MedicaidTX

Other names 1

  • Kenneth Baird, M.D., Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090616000279 TX Part B Supplier - Clinic/Group Practice 3173673076 Receives reassigned benefits from 1 practitioner
Practice locations: Carrollton, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1097070Kenneth Baird, MD, Family Practice3012 E Hebron Pkwy, Suite 110, Carrollton, TX 75010Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory

Locations

3012 E Hebron Pkwy
Ste 110
Carrollton, TX 75010
Phone (214) 263-3234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1003053703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 E HEBRON PKWY",
            "address_2": "STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104464",
            "telephone_number": "214-263-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 E HEBRON PKWY",
            "address_2": "STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104464",
            "telephone_number": "214-263-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH E. BAIRD, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-263-3234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "H5658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110489505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth Baird, M.D., Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.