Active NPI
Andrew Martin Baker, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Antonio, TX
National Provider Identifier
1285880823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 14158
- Practice address
- Wilford Hall Ambulatory Surgical Center
1100 Wilford Hall Loop
San Antonio, TX 78236 - Phone
- (210) 292-6707
- NPI assigned
- Aug 14, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14158 | MD | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 14158 | MD | Primary |
Addresses
Primary practice location
Wilford Hall Ambulatory Surgical Center
1100 Wilford Hall Loop
San Antonio, TX 78236
Mailing address
Wilford Hall Ambulatory Surgical Center
1100 Wilford Hall Loop
San Antonio, TX 78236
Phone (301) 873-9994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160311002344 | KY | Order and Referring Only - Oral Surgery | 4385940667 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14158 | MD | MD | General Practice Dentistry |
| 9433 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1285880823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WILFORD HALL AMBULATORY SURGICAL CENTER",
"address_2": "1100 WILFORD HALL LOOP",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78236",
"telephone_number": "301-873-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WILFORD HALL AMBULATORY SURGICAL CENTER",
"address_2": "1100 WILFORD HALL LOOP",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78236",
"telephone_number": "210-292-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "ANDREW",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-14",
"last_updated": "2023-08-08",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "14158",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "14158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.