Individual provider Active NPI

Scott T Baur, PH.D., D.M.D.

  • Endodontics
  • Naples, FL
National Provider Identifier
1508071432
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN 17788 Issued in FL
Practice address
2332 Pine Ridge Rd
Naples, FL 34109-2003
Phone
(239) 213-1733
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN 17788 FL Primary

Addresses

Primary practice location

2332 Pine Ridge Rd
Naples, FL 34109-2003

Mailing address

96 9TH St
Bonita Springs, FL 34134-7421
Phone (813) 313-6591

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190108003978 FL Order and Referring Only - DentistPractitioner - Dentist 5496091662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DN 17788FLMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1508071432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 9TH ST",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347421",
            "telephone_number": "813-313-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092003",
            "telephone_number": "239-213-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUR",
        "first_name": "SCOTT",
        "middle_name": "T",
        "credential": "PH.D., D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN 17788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.