Individual provider Active NPI

Geri Bako, D.M.D.

  • Student in an Organized Health Care Education/Training Program
  • Gainesville, FL
National Provider Identifier
1366180820
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
DN26853 Issued in FL
Practice address
1395 Center Dr RM D1-17
Gainesville, FL 32610-5243
Phone
(727) 287-1555
NPI assigned
May 24, 2022
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN26853 FL
Student in an Organized Health Care Education/Training Program 390200000X DN26853 FL Primary

Addresses

Primary practice location

1395 Center Dr RM D1-17
Gainesville, FL 32610-5243

Mailing address

1395 Center Dr RM D1-17
Gainesville, FL 32610-1161

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
DN26853FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Largo Dental One PA General Practice CurrentSince Jun 1, 2024 Accepting new patients

Locations

1475 Belcher Rd S
Largo, FL 33771
Phone (727) 287-1555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1366180820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR RM D1-17",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326101161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR RM D1-17",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326105243",
            "telephone_number": "727-287-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKO",
        "first_name": "GERI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN26853",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "DN26853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.