Active NPI
Ben Baker
- Endodontics
- Wichita Falls, TX
National Provider Identifier
1215297759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 26494
- Practice address
- 1804 Brook Ave
Wichita Falls, TX 76301-5622 - Phone
- (940) 247-0286
- NPI assigned
- May 17, 2012
- Last updated
- Sep 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 6806 | WI | |
| Endodontics | 1223E0200X | 26494 | TX | Primary |
Addresses
Primary practice location
1804 Brook Ave
Wichita Falls, TX 76301-5622
Mailing address
1804 Brook Ave
Wichita Falls, TX 76301-5622
Phone (940) 247-0286
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26494 | TX | MD | Endodontist |
| 6806 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1215297759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 BROOK AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015622",
"telephone_number": "940-247-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 BROOK AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015622",
"telephone_number": "940-247-0286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "BEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-17",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WI",
"license": "6806",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "26494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.