Organization Active NPI

Bruce B. Baker DMD Apdc

  • Pediatric Dentistry
  • Poway, CA
National Provider Identifier
1073935912
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
32267 Issued in CA
Legal business name
BRUCE B. BAKER DMD APDC
Practice address
13422-201 Pomerado Rd.
Poway, CA 92064
Phone
(858) 679-6660
Fax
(858) 679-8580
NPI assigned
Jan 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Authorized official

Name
Dr. Bruce Bakhshi Baker, DMD
Title
Owner
Phone
(858) 679-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 32267 CA Primary

Addresses

Primary practice location

13422-201 Pomerado Rd.
Poway, CA 92064

Mailing address

P.O. Box 989
13422-201 Pomerado Rd.
Poway, CA 92064
Phone (858) 679-6660

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1073935912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 989",
            "address_2": "13422-201 POMERADO RD.",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-679-6660",
            "fax_number": "858-679-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13422-201 POMERADO RD.",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-679-6660",
            "fax_number": "858-679-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE B. BAKER DMD APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "BAKHSHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-679-6660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "32267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.