Sara Lucia Baquero Nunez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11810 Issued in NC

Practice address

10808 Monroe Rd
Matthews, NC 28105-7305

Phone

(704) 771-2268

NPI assigned

Jun 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1023633773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 STIRRUP RIDGE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702295",
            "telephone_number": "704-497-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 MONROE RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057305",
            "telephone_number": "704-771-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAQUERO NUNEZ",
        "first_name": "SARA",
        "middle_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naveen Bandarupalli, MD
• Colleen Banik, OTR/L
• William Paul Banish, MD
• Patricia Banki, PT
• Cymbaline Banks
• Ashley Taylor Baranyai, FNP-C
• Pasquale D Baratta, MD
• Sommer Marissa Barber, PHARMD
• John Samuel Barch, RPH
• Adrian Barker, PHARMD

• General Practice Dentistry in Matthews, NC
• Providers in Matthews, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.