Individual provider Active NPI

David Scott Baker, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Rogers, AR
National Provider Identifier
1235320417
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
3615 Issued in TX
Practice address
591 S Horsebarn Rd Ste 100
Rogers, AR 72758-8710
Phone
(479) 636-3779
Fax
(479) 636-0800
NPI assigned
Aug 5, 2007
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 3615 TX Primary

Addresses

Primary practice location

591 S Horsebarn Rd Ste 100
Rogers, AR 72758-8710

Mailing address

591 S Horsebarn Rd Ste 100
Rogers, AR 72758-8710
Phone (479) 636-3979

Other identifiers 1

IdentifierTypeStateIssuer
4651577653OtherMYUTMB 4651577653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3615TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Oral & Maxillofacial Surgery, PA PastSince Feb 14, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1235320417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 S HORSEBARN RD STE 100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588710",
            "telephone_number": "479-636-3979",
            "fax_number": "479-636-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 S HORSEBARN RD STE 100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588710",
            "telephone_number": "479-636-3779",
            "fax_number": "479-636-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2021-02-10",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "3615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 4651577653",
            "identifier": "4651577653",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.