Active NPI
Curtis Baker, DDS
- Dentist
- Mansfield, OH
National Provider Identifier
1396234860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.025369
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180723003127 | OH | Order and Referring Only - 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.