John W Baker, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901009521 Issued in MI

Practice address

1360 Summerwood Dr
South Haven, MI 49090-2143

Phone

(269) 637-6012

Fax

(269) 637-9082

NPI assigned

Dec 22, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1093044026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 SUMMERWOOD DR",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490902143",
            "telephone_number": "269-637-6012",
            "fax_number": "269-637-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 SUMMERWOOD DR",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490902143",
            "telephone_number": "269-637-6012",
            "fax_number": "269-637-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901009521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ansinn, ANP
• Brook Antonson, OTR/L
• Atrium Countryside LLC
• Atrium South Haven LLC
• Alice Marie Bacak, O.D.
• Linda Lu Baker, LMSW
• Nancy Joan Baker, RN
• Kimberly Banner
• Jamie Barnett
• Katrina Nichole Barrett, FNP-C

• General Practice Dentistry in South Haven, MI
• Providers in South Haven, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.