Organization Active NPI

Michael a. Baiker, D.D.S

  • Dentist
  • Indialantic, FL
National Provider Identifier
1073905949
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12651 Issued in FL
Legal business name
MICHAEL A. BAIKER, D.D.S
Practice address
240 4TH Ave
Indialantic, FL 32903-3114
Phone
(321) 956-0230
NPI assigned
Mar 2, 2015
Last updated
Mar 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Mrs. Diane St-Pierre-Baiker
Title
Office Manager
Phone
(321) 956-0230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12651 FL Primary

Addresses

Primary practice location

240 4TH Ave
Indialantic, FL 32903-3114

Mailing address

240 4TH Ave
Indialantic, FL 32903
Phone (321) 956-0230

National Provider Directory

National Provider Directory

Locations

240 4th Ave
Indialantic, FL 32903
Phone (321) 956-0230

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": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1073905949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 4TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "32903",
            "telephone_number": "321-956-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 4TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033114",
            "telephone_number": "321-956-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. BAIKER, D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "ST-PIERRE-BAIKER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-956-0230",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "12651",
            "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 2, 2015; 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.