Andrew Baker, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12028 Issued in OR

Practice address

2601 25TH St SE Ste 430
Salem, OR 97302-1285

Phone

(503) 854-0370

NPI assigned

Jul 11, 2024

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wilsonville Smiles PC

  dba Wilsonville Smiles Dentistry

  • General Practice Dentistry
  • Wilsonville, OR
  • NPI 1346516192
  NPD (past)

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1477390094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 SW WOODSIDE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251749",
            "telephone_number": "503-881-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 25TH ST SE STE 430",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021285",
            "telephone_number": "503-854-0370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30040 SW Boones Ferry Rd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970708910",
            "country_code": "US",
            "telephone_number": "503-682-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ANDREW",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D12028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Baird
• Triena Baird, CADC II
• Mikaela Baize, BEHAVIOR TECHNICIAN
• Goun Bak, DMD
• Corine Bakazan, LPC
• Charles Baker, QMHA
• Geraldine Baker, RDH
• Rex Klein Baker II, MD
• Tarra Leani Baker, MSN
• Zoe Baker

• General Practice Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.