Individual provider Active NPI

Rebecca Lynn Baker, D.M.D.

  • General Practice Dentistry
  • Georgetown, KY
National Provider Identifier
1154448900
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7940 Issued in KY
Practice address
107 Frazier CT
Suite 2E
Georgetown, KY 40324-8973
Phone
(502) 863-3600
Fax
(502) 863-3699
NPI assigned
Mar 26, 2007
Last updated
Jan 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7940 KY Primary

Addresses

Primary practice location

107 Frazier CT
Suite 2E
Georgetown, KY 40324-8973

Mailing address

107 Frazier CT
Suite 2E
Georgetown, KY 40324-8973
Phone (502) 863-3600

Other names 1

  • Dr. Rebecca Lynn Baker Former name

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
7940KYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1154448900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FRAZIER CT",
            "address_2": "SUITE 2E",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248973",
            "telephone_number": "502-863-3600",
            "fax_number": "502-863-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FRAZIER CT",
            "address_2": "SUITE 2E",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248973",
            "telephone_number": "502-863-3600",
            "fax_number": "502-863-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BAKER",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.