Kendra Stanley Baker, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8832 Issued in TN

Practice address

2645 Sullivan Gardens Pkwy
Kingsport, TN 37660-7458

Phone

(423) 349-8315

NPI assigned

Jul 9, 2008

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Meadowview Family Dentistry, PLLC

  • Dentist
  • Kingsport, TN
  • NPI 1265272413
  NPD Authorized official

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1316100209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 SULLIVAN GARDENS PKWY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607458",
            "telephone_number": "423-349-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 SULLIVAN GARDENS PKWY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607458",
            "telephone_number": "423-349-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KENDRA",
        "middle_name": "STANLEY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Buchanan Bailey
• Lawrence Delmore Bailey Jr., M.D.
• Tina Maria Bailey, RDH
• Duanette Baker, RN
• Karen Elaine Baker, BS
• Michael E Baker, P.T.
• Tonya D Baker, FNP
• Balanced Chiropractic and Wellness LLC
• Russell Baldwin, DO
• Erica Leighann Bales, FNP-C

• General Practice Dentistry in Kingsport, TN
• Providers in Kingsport, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.