Active NPI
Jacqueline K Baker-Bachtel, DDS
- General Practice Dentistry
- Berlin, OH
National Provider Identifier
1295842961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30019537
- Practice address
- 4913 West Main St.
Berlin, OH 44610 - Phone
- (330) 893-3141
- Fax
- (330) 893-3513
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30019537 | OH | Primary |
Addresses
Primary practice location
4913 West Main St.
Berlin, OH 44610
Mailing address
4913 West Main St.
Berlin, OH 44610
Phone (330) 893-3141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30019537 | Other | OH | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30019537 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295842961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4913 WEST MAIN ST.",
"city": "BERLIN",
"state": "OH",
"postal_code": "44610",
"telephone_number": "330-893-3141",
"fax_number": "330-893-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4913 WEST MAIN ST.",
"city": "BERLIN",
"state": "OH",
"postal_code": "44610",
"telephone_number": "330-893-3141",
"fax_number": "330-893-3513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER-BACHTEL",
"first_name": "JACQUELINE",
"middle_name": "K",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30019537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "30019537",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berlin, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.