Active NPI
Reginald Lenard Baker Jr., DDS
- General Practice Dentistry
- Fayetteville, NC
National Provider Identifier
1104855766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7949
- Practice address
- 3621 Cape Center Dr
Fayetteville, NC 28304-4457 - Phone
- (910) 307-0370
- Fax
- (910) 307-0375
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN1002180 | DC | |
| General Practice Dentistry | 1223G0001X | 17323 | MD | |
| General Practice Dentistry | 1223G0001X | 7949 | NC | Primary |
Addresses
Primary practice location
3621 Cape Center Dr
Fayetteville, NC 28304-4457
Mailing address
1147 20TH St NW Ste 200
Washington, DC 20036-3573
Phone (202) 223-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1002180 | DC | MD | General Practice Dentistry |
| 17323 | MD | MD | General Practice Dentistry |
| 7949 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Orthodontics P.C. | Current | Accepting new patients | |
| Higgins, Mani & Watson III DDS PA | General Practice | Past | Accepting new patients |
Locations
1147 20th St NW
Ste 200
Washington, DC 20036
Phone (202) 223-2000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Washington, DC
- NPI 1376178194
-
- General Practice Dentistry
- Fayetteville, NC
- NPI 1730263211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1104855766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1147 20TH ST NW STE 200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200363573",
"telephone_number": "202-223-2000",
"fax_number": "910-307-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 CAPE CENTER DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044457",
"telephone_number": "910-307-0370",
"fax_number": "910-307-0375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "REGINALD",
"middle_name": "LENARD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DC",
"license": "DEN1002180",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "17323",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.