NPIMap

Organization Active NPI

Dr. D.O. Baxter P.C.

  • General Practice Dentistry
  • Winder, GA
National Provider Identifier
1104045996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR. D.O. BAXTER P.C.
Practice address
152 N Broad St
Winder, GA 30680-8200
Phone
(770) 867-4175
Fax
(770) 868-1564
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Julie Baxter Marshall, D.M.D.NPI 1376668103
Title
Co-Owner
Phone
(770) 867-4175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

152 N Broad St
Winder, GA 30680-8200

Mailing address

152 N Broad St
Winder, GA 30680-8200
Phone (770) 867-4175

National Provider Directory

National Provider Directory

Locations

152 N Broad St
Winder, GA 30680
Phone (770) 867-4175

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104045996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808200",
            "telephone_number": "770-867-4175",
            "fax_number": "770-868-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808200",
            "telephone_number": "770-867-4175",
            "fax_number": "770-868-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. D.O. BAXTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "BAXTER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "770-867-4175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.