Active NPI
Samuel Frederick Baker, DDS
- Dentist
- Newark, OH
National Provider Identifier
1457109258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.027459
- Practice address
- 106 McMillen Dr
Newark, OH 43055-1809 - Phone
- (740) 344-1171
- NPI assigned
- May 8, 2024
- Last updated
- May 8, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 30.027459 | OH | Primary |
Addresses
Primary practice location
106 McMillen Dr
Newark, OH 43055-1809
Mailing address
909 Taurus Ave
Gahanna, OH 43230-3846
Phone (614) 371-9402
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 |
|---|---|---|---|
| 30.027459 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1457109258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 TAURUS AVE",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432303846",
"telephone_number": "614-371-9402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MCMILLEN DR",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551809",
"telephone_number": "740-344-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "SAMUEL",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.027459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.