Active NPI
Heather Renee Baker
- Dental Assistant
- Rosamond, CA
National Provider Identifier
1013154889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 56703
- Practice address
- 2248 Westpark Dr
Rosamond, CA 93560-6863 - Phone
- (661) 886-3373
- NPI assigned
- Jan 14, 2009
- Last updated
- Jan 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 56703 | CA | Primary |
Addresses
Primary practice location
2248 Westpark Dr
Rosamond, CA 93560-6863
Mailing address
44558 10TH St W
Lancaster, CA 93534-3333
Phone (661) 723-1111
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
| License | State | Type | Specialty |
|---|---|---|---|
| 56703 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dental Care | Past | Accepting new patients | |
| Farid Pakravan Professional Dental Corporation | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Laboratory
- Lancaster, CA
- NPI 1093126278
-
dba Family Dental Practice of Lancaster
- General Practice Dentistry
- Lancaster, CA
- NPI 1922283936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231891200000",
"number": "1013154889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44558 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343333",
"telephone_number": "661-723-1111",
"fax_number": "661-726-0587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2248 WESTPARK DR",
"city": "ROSAMOND",
"state": "CA",
"postal_code": "935606863",
"telephone_number": "661-886-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "HEATHER",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-14",
"last_updated": "2009-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "56703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosamond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.