Active NPI
Thomas Lee Baba, DDS
- Dentist
- Laguna Beach, CA
National Provider Identifier
1417226150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DV033237
- Practice address
- 352 3Rd St
Suite 201
Laguna Beach, CA 92651-2357 - Phone
- (949) 376-2236
- Fax
- (760) 723-1480
- NPI assigned
- Dec 27, 2011
- 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 | DV033237 | CA | Primary |
Addresses
Primary practice location
352 3Rd St
Suite 201
Laguna Beach, CA 92651-2357
Mailing address
352 3Rd St
Suite 201
Laguna Beach, CA 92651-2357
Phone (949) 376-2236
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 |
|---|---|---|---|
| DV033237 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1417226150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 3RD ST",
"address_2": "SUITE 201",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512357",
"telephone_number": "949-376-2236",
"fax_number": "760-723-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 3RD ST",
"address_2": "SUITE 201",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512357",
"telephone_number": "949-376-2236",
"fax_number": "760-723-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABA",
"first_name": "THOMAS",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-27",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DV033237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.