Michael Andrew Baron, DMD | NPI 1215022249

Key facts

NPI: 1215022249
Entity type: Individual (NPI type 1)
Primary specialty: Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License: 006235 (CT)
Practice address: 179 East Main Street
Branford, CT 06405
Phone: (203) 488-6616
Fax: (203) 488-5873
NPI assigned: Oct 4, 2006
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
006235	CT	MD	Orthodontics and Dentofacial Orthopedic Dentist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	006235	CT	Yes

Addresses

Primary practice location

179 East Main Street
Branford, CT 06405

Mailing address

179 East Main Street
Branford, CT 06405
Phone (203) 488-6616

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215022249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 EAST MAIN STREET",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "06405",
            "telephone_number": "203-488-6616",
            "fax_number": "203-488-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 EAST MAIN STREET",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "06405",
            "telephone_number": "203-488-6616",
            "fax_number": "203-488-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "006235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

All providers in Branford, CT · Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.