NPIMap

Organization Active NPI

Brian P. Baker DMD,PA

  • Dental Clinic/Center
  • Titusville, FL
National Provider Identifier
1245381920
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN0012861 Issued in FL
Legal business name
BRIAN P. BAKER DMD,PA
Practice address
1625 S Washington Ave
Suite B
Titusville, FL 32780-4734
Phone
(321) 267-7072
Fax
(321) 267-4948
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Dr. Brian Paul Baker, D.M.D.NPI 1235280637
Title
Owner
Phone
(321) 267-7072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN0012861 FL Primary

Addresses

Primary practice location

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

Mailing address

1625 S Washington Ave
Suite B
Titusville, FL 32780-4734
Phone (321) 267-7072

National Provider Directory

National Provider Directory

Locations

1625 S Washington Ave
Ste B
Titusville, FL 32780
Phone (321) 267-7072

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1245381920",
    "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": {
        "organization_name": "BRIAN P. BAKER DMD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-267-7072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN0012861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.