Jon Derek Baese, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS9165 Issued in TN

Practice address

4020 Hughes Xing
Franklin, TN 37064-1469

Phone

(615) 435-3274

NPI assigned

Jul 1, 2010

Last updated

May 29, 2025By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 12 South Dental Studio

  • Dental Clinic/Center
  • Nashville, TN
  • NPI 1912732967
  NPD (past)

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1164733424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 OVERTON RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372201924",
            "telephone_number": "615-554-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 HUGHES XING",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370641469",
            "telephone_number": "615-435-3274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 Centennial Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372091111",
            "country_code": "US",
            "telephone_number": "615-933-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAESE",
        "first_name": "JON",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS9165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Avrit, DMD
• Kimberly B Ayer, DPT
• Payton Azbell, PT, DPT, ATC
• Heather Backues, LDH
• Emelia Jane Baer, PT, DPT
• Grace Elizabeth Baginski
• Megan Alisha Bailey, RBT
• Teresa Elizabeth Bailey
• Thomas Bailey, D.M.D.
• Lorie Bain, MS, OTR/L

• General Practice Dentistry in Franklin, TN
• Providers in Franklin, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.