NPIMap

Organization Active NPI

Edward F. Baines, D.D.S., P.a.

  • Periodontics
  • Indialantic, FL
National Provider Identifier
1063534402
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
FL5975 Issued in FL
Legal business name
EDWARD F. BAINES, D.D.S., P.A.
Practice address
140 6TH Ave
Indialantic, FL 32903-3204
Phone
(321) 951-1577
NPI assigned
Apr 5, 2007
Last updated
Mar 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Dr. Edward Floyd Baines, D.D.S.NPI 1093961591
Title
President
Phone
(321) 951-1577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X FL5975 FL Primary

Addresses

Primary practice location

140 6TH Ave
Indialantic, FL 32903-3204

Mailing address

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 951-1577

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1063534402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 6TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033204",
            "telephone_number": "321-951-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 6TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033204",
            "telephone_number": "321-951-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD F. BAINES, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "BAINES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-951-1577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "FL5975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.