Baldwin Dentistry PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN21975 Issued in FL

Legal business name

BALDWIN DENTISTRY PA

Practice address

135 US Highway 27 S
South Bay, FL 33493-2213

Phone

(561) 996-0033

Fax

(561) 996-0044

NPI assigned

Jan 15, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Baldwin, DDSNPI 1073066551

Title

Dentist

Phone

(561) 996-0033

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Baldwin, D.D.S

  • Dentist
  • South Bay, FL
  • NPI 1073066551
  NPD (past) Authorized official

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1427566223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 US HIGHWAY 27 S",
            "city": "SOUTH BAY",
            "state": "FL",
            "postal_code": "334932213",
            "telephone_number": "561-996-0033",
            "fax_number": "561-996-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 US HIGHWAY 27 S",
            "city": "SOUTH BAY",
            "state": "FL",
            "postal_code": "334932213",
            "telephone_number": "561-996-0033",
            "fax_number": "561-996-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "561-996-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21975",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN21975",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018929800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Baldwin, D.D.S
• Dental Heaven P.a. (Heavenly Smiles)
• Goncan, Inc (South Bay Pharmacy)
• Goncan, Inc (South Bay Pharmacy)
• Ceela Harris

• Dentist in South Bay, FL
• Providers in South Bay, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.