Active NPI
Anthony Baldwin, D.D.S
- Dentist
- South Bay, FL
National Provider Identifier
1073066551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN21975
- Practice address
- 135 US Highway 27 S
South Bay, FL 33493-2213 - Phone
- (561) 996-0033
- NPI assigned
- Aug 1, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN21975 | FL | Primary |
Addresses
Primary practice location
135 US Highway 27 S
South Bay, FL 33493-2213
Mailing address
135 US Highway 27 S
South Bay, FL 33493-2213
Phone (786) 838-5234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018929800 | Medicaid | FL |
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 |
|---|---|---|---|
| DN21975 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Dentistry PA | Dentist | Past | Accepting new patients |
| Dental Heaven P.a. | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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.
-
- Dentist
- South Bay, FL
- NPI 1427566223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515974400000",
"number": "1073066551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 US HIGHWAY 27 S",
"city": "SOUTH BAY",
"state": "FL",
"postal_code": "334932213",
"telephone_number": "786-838-5234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 US HIGHWAY 27 S",
"city": "SOUTH BAY",
"state": "FL",
"postal_code": "334932213",
"telephone_number": "561-996-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "ANTHONY",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-01",
"last_updated": "2018-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN21975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018929800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.