Jason Edward Baker, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17784 Issued in FL

Practice address

77 S Shore Dr
Miramar Beach, FL 32550-5822

Phone

(850) 650-2070

Fax

(850) 650-2073

NPI assigned

Apr 5, 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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jason E Baker DDS LLC

  • General Practice Dentistry
  • Miramar Beach, FL
  • NPI 1093051344
  NPD (past)

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1457473803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S SHORE DR",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325505822",
            "telephone_number": "850-650-2070",
            "fax_number": "850-650-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S SHORE DR",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325505822",
            "telephone_number": "850-650-2070",
            "fax_number": "850-650-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "17784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurence Perez Aquino, DPT,PT,MBA,OCS
• Sherrie Ann Lanceta Aquino, DPT
• Amy Rozetta Arnold, PT, CLT
• Peter Mauricio Arrazola III, M.D.
• Ascension Sacred Heart Emerald Coast
• Blakele Bakker, M.D.
• Mary Barr
• Alexis Bass
• Irelynn Bates
• Richard C Baumann, RPH

• General Practice Dentistry in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.