Organization Active NPI

Baker Dental Group PC

  • General Practice Dentistry
  • Oswego, IL
National Provider Identifier
1144797994
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BAKER DENTAL GROUP PC
Practice address
1128 Douglas Rd
Oswego, IL 60543-9040
Phone
(630) 554-5290
Fax
(630) 554-5152
NPI assigned
Oct 30, 2018
Last updated
Oct 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Authorized official

Name
Sherry Baker, DDSNPI 1578677423
Title
Dentist/Owner
Phone
(630) 554-5290

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

1128 Douglas Rd
Oswego, IL 60543-9040

Mailing address

1128 Douglas Rd
Oswego, IL 60543-9040
Phone (630) 554-5290

Other names 1

  • Baker Dental Care Other name

National Provider Directory

National Provider Directory

Locations

1128 Douglas Rd
Oswego, IL 60543
Phone (630) 554-5290

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1144797994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439040",
            "telephone_number": "630-554-5290",
            "fax_number": "630-554-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439040",
            "telephone_number": "630-554-5290",
            "fax_number": "630-554-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "630-554-5290",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baker Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.