Active NPI
L. Bradley Baker, DMD, PSC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Owensboro, KY
National Provider Identifier
1154443182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- KY6187
- Legal business name
- L. BRADLEY BAKER, DMD, PSC
- Practice address
- 1300 Southtown Blvd
Owensboro, KY 42301-7481 - Phone
- (270) 684-7433
- Fax
- (270) 685-4114
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Bradley Baker, DMD
- Title
- Orthodontist
- Phone
- (270) 684-7433
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | KY6187 | KY | Primary |
Addresses
Primary practice location
1300 Southtown Blvd
Owensboro, KY 42301-7481
Mailing address
1300 Southtown Blvd
Owensboro, KY 42301-7481
Phone (270) 684-7433
National Provider Directory
National Provider DirectoryLocations
1300 Southtown Blvd
Owensboro, KY 42301
Phone (270) 684-7433
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Owensboro, KY
- NPI 1629199054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154443182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 SOUTHTOWN BLVD",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423017481",
"telephone_number": "270-684-7433",
"fax_number": "270-685-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 SOUTHTOWN BLVD",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423017481",
"telephone_number": "270-684-7433",
"fax_number": "270-685-4114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L. BRADLEY BAKER, DMD, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "BRADLEY",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "270-684-7433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "KY",
"license": "KY6187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
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.