Active NPI
Jeffrey D Baird, DMD
- General Practice Dentistry
- Jeannette, PA
National Provider Identifier
1316949142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS026919L
- Practice address
- 1075 Harrison City Export Rd
Suite #3
Jeannette, PA 15644-4309 - Phone
- (724) 744-2099
- Fax
- (724) 744-3030
- NPI assigned
- Aug 11, 2005
- Reactivated
- Mar 29, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS026919L | PA | Primary |
Addresses
Primary practice location
1075 Harrison City Export Rd
Suite #3
Jeannette, PA 15644-4309
Mailing address
1075 Harrison City Export Rd
Suite #3
Jeannette, PA 15644-4309
Phone (724) 744-2099
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2211 | Other | PA | DORAL |
| 575692 | Other | PA | UNITED CONCORDIA |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearl Dentistry of Penn Tafford, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Jeannette, PA
- NPI 1033808423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1316949142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 HARRISON CITY EXPORT RD",
"address_2": "SUITE #3",
"city": "JEANNETTE",
"state": "PA",
"postal_code": "156444309",
"telephone_number": "724-744-2099",
"fax_number": "724-744-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 HARRISON CITY EXPORT RD",
"address_2": "SUITE #3",
"city": "JEANNETTE",
"state": "PA",
"postal_code": "156444309",
"telephone_number": "724-744-2099",
"fax_number": "724-744-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIRD",
"first_name": "JEFFREY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2016-10-24",
"deactivation_date": "2006-03-22",
"reactivation_date": "2006-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS026919L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "2211",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "575692",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jeannette, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.