Organization Active NPI

L. Bradley Baker, DMD, PSC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Owensboro, KY
National Provider Identifier
1154443182
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
KY6187 Issued in KY
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lawrence Bradley Baker, DMDNPI 1629199054
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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.