Brian Paul Baker, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0012861 Issued in FL

Practice address

1625 S Washington Ave
Suite B
Titusville, FL 32780-4734

Phone

(321) 267-7072

Fax

(321) 267-4948

NPI assigned

Jan 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Brian P. Baker DMD,PA

  • Dental Clinic/Center
  • Titusville, FL
  • NPI 1245381920
  NPD (past) Authorized official

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235280637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 S WASHINGTON AVE",
            "address_2": "SUITE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804734",
            "telephone_number": "321-267-7072",
            "fax_number": "321-267-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 S WASHINGTON AVE",
            "address_2": "SUITE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804734",
            "telephone_number": "321-267-7072",
            "fax_number": "321-267-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ashby, PTA
• Ashok Shah MD PA
• Christina Avrilien, PHARMD
• Awara Business Enterprises Inc (HealthQuest Wellness Center)
• B&R Electric Scooters & Lift Chairs Inc.
• Heather Bicket Baker, PHARMD
• Jennifer Balk, MA MM
• Michael Christopher Ball, PHARM.D
• Dawn Jennifer Banke, ARNP
• Donald James Baracskay II, MD

• General Practice Dentistry in Titusville, FL
• Providers in Titusville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.