Martha Christine Baker, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

041005-1 Issued in NY

Practice address

234 Main St
Suite #3
Center Moriches, NY 11934-3515

Phone

(631) 878-7106

Fax

(631) 878-7124

NPI assigned

Jun 12, 2006

Sex

Female

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1104868090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MAIN ST",
            "address_2": "SUITE #3",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343515",
            "telephone_number": "631-878-7106",
            "fax_number": "631-878-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MAIN ST",
            "address_2": "SUITE #3",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343515",
            "telephone_number": "631-878-7106",
            "fax_number": "631-878-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARTHA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041005-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lauren Adams, LPN
• Eran Arvilli, DDS
• Shannon Raechel Austin, R.N.
• Melanie Bamberger, COTA/L
• Kristen Beardsley
• Dana Berge, LMSW
• Pramod Bhanti, PT
• Jaclyn Marie Bonventre

• General Practice Dentistry in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.