Individual provider Active NPI

Jorge Mark Fernandez-Baujin, D.M.D.

  • General Practice Dentistry
  • Torrington, CT
National Provider Identifier
1083821649
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
007821 Issued in CT
Practice address
686 E Main St
Torrington, CT 06790-3931
Phone
(860) 489-9091
Fax
(860) 496-7110
NPI assigned
May 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 007821 CT Primary

Addresses

Primary practice location

686 E Main St
Torrington, CT 06790-3931

Mailing address

2492 Torringford St
Torrington, CT 06790-2523
Phone (860) 234-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150727002582 CT Order and Referring Only - DentistPractitioner - Dentist 3476867011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007821CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge F Baujin General Practice Past Accepting new patients
B & B Dentistry LLC General Practice Past Accepting new patients
Artistic Dental Medicine General Practice Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083821649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2492 TORRINGFORD ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067902523",
            "telephone_number": "860-234-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 E MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903931",
            "telephone_number": "860-489-9091",
            "fax_number": "860-496-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-BAUJIN",
        "first_name": "JORGE",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.