Individual provider Active NPI

Reginald Lenard Baker Jr., DDS

  • General Practice Dentistry
  • Fayetteville, NC
National Provider Identifier
1104855766
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7949 Issued in NC
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

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DEN1002180DCMDGeneral Practice Dentistry
17323MDMDGeneral Practice Dentistry
7949NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Orthodontics P.C. CurrentSince Feb 24, 2022 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.

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.

Verify at the official NPI Registry.