Pedro Angel Baez, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

27948 Issued in TX

Practice address

1499 E. Marshall Ave
Longview, TX 75601-4655

Phone

(787) 878-3036

Fax

(903) 242-9778

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

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

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 and National Provider Directory roles.

• Alpha First Dental Clinic P.a

  • General Practice Dentistry
  • Longview, TX
  • NPI 1720269707
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1508873258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016814",
            "telephone_number": "787-473-3209",
            "fax_number": "903-242-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 E. MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014655",
            "telephone_number": "787-878-3036",
            "fax_number": "903-242-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ",
        "first_name": "PEDRO",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1829",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27948",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adebolanle Ayinde
• Nikki Aylor, PHARMD
• Chamnie Burton Ayres, LP
• Ibraheem Azhar
• Christopher Badami
• Laureen Furey Bagley, HEALTH COACH
• Kristi Bengtson Bagnell, MD
• Baher Elhalwagi, MD, PA
• Latonya Bailey
• Meagan Mishay Bailey, RRT

• Dentist in Longview, TX
• Providers in Longview, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.