Active NPI
Bruce Martin Baskett, DMD
- General Practice Physician
- Whitesville, KY
National Provider Identifier
1407959877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5856
- Practice address
- 10074 St RT 54
Whitesville, KY 42378 - Phone
- (270) 233-4551
- Fax
- (270) 233-4209
- NPI assigned
- Sep 7, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5856 | KY | Primary |
Addresses
Primary practice location
10074 St RT 54
Whitesville, KY 42378
Mailing address
PO Box 107
Hartford, KY 42347
Phone (270) 298-7534
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5856 | KY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407959877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 107",
"city": "HARTFORD",
"state": "KY",
"postal_code": "42347",
"telephone_number": "270-298-7534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10074 ST RT 54",
"city": "WHITESVILLE",
"state": "KY",
"postal_code": "42378",
"telephone_number": "270-233-4551",
"fax_number": "270-233-4209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASKETT",
"first_name": "BRUCE",
"middle_name": "MARTIN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "KY",
"license": "5856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitesville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.