Individual provider Active NPI

Alyssa Baker, DMD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1457030405
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.034436 Issued in IL
Practice address
111 N Wabash Ave Ste 1921
Chicago, IL 60602-2970
Phone
(312) 332-4424
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.034436 IL Primary

Addresses

Primary practice location

111 N Wabash Ave Ste 1921
Chicago, IL 60602-2970

Mailing address

5001 Prospect Ave # 3B
Downers Grove, IL 60515-3790
Phone (847) 345-6254

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

LicenseStateTypeSpecialty
019.034436ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
High Point Dentistry #8, PLLC General Practice CurrentSince Jan 4, 2026 Accepting new patients
Deborah L. Beaty D.D.S., P.C. General Practice PastSince Jul 23, 2023 Accepting new patients

Locations

111 N Wabash Ave
Ste 1921
Chicago, IL 60602
Phone (312) 332-4424

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1457030405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 PROSPECT AVE # 3B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153790",
            "telephone_number": "847-345-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1921",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022970",
            "telephone_number": "312-332-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ALYSSA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.034436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.