Individual provider Active NPI

Morgan Kneib Baker

  • Dentist
  • Frederick, MD
National Provider Identifier
1447507256
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15331 Issued in MD
Practice address
516 Trail Ave
Suite B
Frederick, MD 21701-4942
Phone
(240) 566-7005
Fax
(240) 566-7006
NPI assigned
Aug 10, 2012
Last updated
Apr 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15331 MD Primary

Addresses

Primary practice location

516 Trail Ave
Suite B
Frederick, MD 21701-4942

Mailing address

516 Trail Ave
Suite B
Frederick, MD 21701-4942

Other names 1

  • Morgan D Kneib Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170418001091 MD Practitioner - Dentist 3779869268 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15331MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC CurrentSince Mar 13, 2017 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Mar 13, 2017 Accepting new patients
Frederick Health Medical Group LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

516 Trail Ave
Frederick, MD 21701
Phone (240) 566-3030

516 Trail Ave
Ste B
Frederick, MD 21701
Phone (240) 566-7005

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1447507256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 TRAIL AVE",
            "address_2": "SUITE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 TRAIL AVE",
            "address_2": "SUITE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014942",
            "telephone_number": "240-566-7005",
            "fax_number": "240-566-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MORGAN",
        "middle_name": "KNEIB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "KNEIB",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.