Active NPI
Spencer Morris Baum, DDS
- Dentist
- Mineral Wells, TX
National Provider Identifier
1295848638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16476
- Practice address
- 4508 E Hwy 180
Mineral Wells, TX 76067 - Phone
- (940) 325-1788
- Fax
- (940) 325-1400
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 16476 | TX | Primary |
Addresses
Primary practice location
4508 E Hwy 180
Mineral Wells, TX 76067
Mailing address
4508 E Hwy 180
Mineral Wells, TX 76067
Phone (940) 325-1788
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
- Opted out of Medicare
- Previously, effective Sep 15, 2016 through Sep 15, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16476 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295848638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4508 E HWY 180",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "76067",
"telephone_number": "940-325-1788",
"fax_number": "940-325-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4508 E HWY 180",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "76067",
"telephone_number": "940-325-1788",
"fax_number": "940-325-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUM",
"first_name": "SPENCER",
"middle_name": "MORRIS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "16476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mineral Wells, TX
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.