Brock Baade, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13287 Issued in NC

Practice address

327 Teal Dr
Raeford, NC 28376-2527

Phone

(910) 208-6091

NPI assigned

Jun 8, 2023

Last updated

Jun 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1255025490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 33RD AVE S UNIT A307",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 TEAL DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762527",
            "telephone_number": "910-208-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAADE",
        "first_name": "BROCK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autry Behavioral & Resource Center
• Autry Behavioral Consultants & Resources
• Autumn Corporation (Autumn Care of Raeford)
• Autumn Corporation (Autumn Care of Raeford)
• Mechele Rozier Avery, LCSWA, LCASA
• Justin Alan Bacon, DO
• Amanda Bailey, MA, LCMHC, NCC
• Trinity Bailey
• Amy L Baker, MSW, LCSW
• Allen J Ballew, DO

• General Practice Dentistry in Raeford, NC
• Providers in Raeford, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.