Individual provider Active NPI

Maureen T Baldy, DMD

  • Pediatric Dentistry
  • Mobile, AL
National Provider Identifier
1295863413
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4141 Issued in AL
Practice address
3920 Airport Blvd
Ste B
Mobile, AL 36608-2207
Phone
(251) 342-3323
Fax
(251) 342-3325
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 4141 AL Primary

Addresses

Primary practice location

3920 Airport Blvd
Ste B
Mobile, AL 36608-2207

Mailing address

3920 Airport Blvd
Suite B
Mobile, AL 36608-2207
Phone (251) 342-3323

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

LicenseStateTypeSpecialty
4141ALMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Seagrass Smiles Pediatric Dentistry Pediatric Dentistry Past Accepting new patients
Mobile Premier Pediatric Dentistry, LLC Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295863413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 AIRPORT BLVD",
            "address_2": "SUITE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082207",
            "telephone_number": "251-342-3323",
            "fax_number": "251-342-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 AIRPORT BLVD",
            "address_2": "STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082207",
            "telephone_number": "251-342-3323",
            "fax_number": "251-342-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDY",
        "first_name": "MAUREEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "4141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

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.

Verify at the official NPI Registry.