Theron Jewell Baker, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010976 Issued in WA

Practice address

509 Olive Way Ste 1538
Seattle, WA 98101-1749

Phone

(206) 343-8774

Fax

(206) 343-3083

NPI assigned

Jul 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1437349032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1538",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011749",
            "telephone_number": "206-343-8774",
            "fax_number": "206-343-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1538",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011749",
            "telephone_number": "206-343-8774",
            "fax_number": "206-343-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "THERON",
        "middle_name": "JEWELL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Anthony Baker, RN
• Sarah Margaret Baker
• Sharon Ann Baker, PH.D.
• Sophie Baker, L.AC., AEMP
• Tamara Dee Baker, LICSW
• William Donald Baker, MA LMHC
• Nicole Bakhoum
• Bakker Natural Medicine Inc
• Jonathan Bakker, ND
• Neeru Verma Bakshi, MD

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.