Individual provider Active NPI

Martin Neal Baker, DDS

  • General Practice Dentistry
  • New Bern, NC
National Provider Identifier
1366824799
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10075 Issued in NC
Practice address
1312 Commerce Dr
New Bern, NC 28562-2212
Phone
(252) 637-1919
Fax
(252) 637-3317
NPI assigned
Jun 22, 2015
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10075 NC Primary

Addresses

Primary practice location

1312 Commerce Dr
New Bern, NC 28562-2212

Mailing address

1312 Commerce Dr
New Bern, NC 28562-2212
Phone (252) 637-1919

Other practice location 1

3445 Henderson Dr
Jacksonville, NC 28546-5233
Phone (910) 347-1283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220411001900 NC Order and Referring Only - DentistPractitioner - Dentist 6103212527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lane and Associates Xliii DDS PA General Practice CurrentSince Apr 1, 2022 Accepting new patients
Martin N Baker DDS PA CurrentSince Jan 8, 2023 Accepting new patients
Thomas E & Kimberly M Morgan DDS PA General Practice PastSince Apr 1, 2022 Accepting new patients
Deborah P. Kilgore, D.D.S.,P.L.L.C. PastSince Jan 8, 2023 Accepting new patients

Locations

3445 Henderson Dr
Jacksonville, NC 28546
Phone (910) 347-1283

1312 Commerce Dr
New Bern, NC 28562
Phone (252) 637-1919

Organizations & group practices 4

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1366824799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 COMMERCE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622212",
            "telephone_number": "252-637-1919",
            "fax_number": "252-637-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 COMMERCE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622212",
            "telephone_number": "252-637-1919",
            "fax_number": "252-637-3317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3445 Henderson Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285465233",
            "country_code": "US",
            "telephone_number": "910-347-1283",
            "fax_number": "910-347-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARTIN",
        "middle_name": "NEAL",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.