Individual provider Active NPI

David P Baker, D.D.S.

  • General Practice Dentistry
  • Stevensville, MT
National Provider Identifier
1467484774
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1592 Issued in MT
Practice address
120 LJK Way
Stevensville, MT 59870-6562
Phone
(406) 777-5070
Fax
(406) 777-4266
NPI assigned
Jul 7, 2006
Last updated
Mar 30, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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 1592 MT Primary

Addresses

Primary practice location

120 LJK Way
Stevensville, MT 59870-6562

Mailing address

120 LJK Way
Stevensville, MT 59870-6562
Phone (406) 777-5070

Other identifiers 1

IdentifierTypeStateIssuer
81-0394986OtherFEIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20161010002181 MT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9032407986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1592MTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1467484774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LJK WAY",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706562",
            "telephone_number": "406-777-5070",
            "fax_number": "406-777-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LJK WAY",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706562",
            "telephone_number": "406-777-5070",
            "fax_number": "406-777-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "81-0394986",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MT

Sources for this page

Verify at the official NPI Registry.