Eric T Baum DMD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ERIC T BAUM DMD

Practice address

310 Commack Rd
Commack, NY 11725-3451

Phone

(631) 906-2227

NPI assigned

Apr 11, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Eric T Baum, DMDNPI 1417381476

Title

President

Phone

(631) 906-2227

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Baum, D.M.D.

  • Dentist
  • Stony Brook, NY
  • NPI 1417381476
  NPD Authorized official

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1356083273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MUNSEE WAY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251345",
            "telephone_number": "631-888-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253451",
            "telephone_number": "631-906-2227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 Commack Rd",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117255400",
            "country_code": "US",
            "telephone_number": "631-906-2227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Hallock Rd",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117903033",
            "country_code": "US",
            "telephone_number": "631-906-2227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERIC T BAUM DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-906-2227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "631-827-7188",
            "affiliation": "N",
            "endpointDescription": "dr phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all",
            "address_1": "207 Hallock Rd",
            "city": "Stony Brook",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117903033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dental Clinic/Center in Commack, NY
• Providers in Commack, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.