Individual provider Active NPI

Curtis Baker, DDS

  • Dentist
  • Mansfield, OH
National Provider Identifier
1396234860
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.025369 Issued in OH
Practice address
1 Marion Ave
Mansfield, OH 44903
Phone
(419) 522-1837
NPI assigned
May 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.025369 OH Primary

Addresses

Primary practice location

1 Marion Ave
Mansfield, OH 44903

Mailing address

1 Marion Ave
Mansfield, OH 44903-7920
Phone (419) 522-1837

Other practice location 1

31 E Main St
Shelby, OH 44875-1262
Phone (419) 525-6795

Other practice location 2

600 W 3rd St
Mansfield, OH 44906-2633
Phone (419) 522-6191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180723003127 OH Order and Referring Only - DentistPractitioner - Dentist 8921355850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1396234860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449037920",
            "telephone_number": "419-522-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARION AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44903",
            "telephone_number": "419-522-1837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 E Main St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "OH",
            "postal_code": "448751262",
            "country_code": "US",
            "telephone_number": "419-525-6795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449062633",
            "country_code": "US",
            "telephone_number": "419-522-6191",
            "fax_number": "419-525-6723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CURTIS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.