Individual provider Active NPI

Larry L Baker, M.D., D.D.S.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Hastings, NE
National Provider Identifier
1508967639
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
22775 Issued in NE
Practice address
501 W 9TH St
Hastings, NE 68901-3908
Phone
(402) 463-3088
Fax
(402) 463-3099
NPI assigned
Sep 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 22775 NE Primary

Addresses

Primary practice location

501 W 9TH St
Hastings, NE 68901-3908

Mailing address

PO Box 947
Hastings, NE 68902-0947
Phone (402) 463-3088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041217000706 NE Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 3971594201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Mayo Medical School, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

501 W 9TH St
Hastings, NE 68901-3908
Phone (402) 463-3088

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Larry L Baker, MD, DDS, PC Oral & Maxillofacial Surgery CurrentSince Sep 15, 2004 Accepting new patients
Hastings Surgical Center, LLC Current Accepting new patients

Locations

501 W 9th St
Hastings, NE 68901
Phone (402) 463-3088

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508967639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689020947",
            "telephone_number": "402-463-3088",
            "fax_number": "402-463-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 9TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013908",
            "telephone_number": "402-463-3088",
            "fax_number": "402-463-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "LARRY",
        "middle_name": "L",
        "credential": "M.D., D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NE",
            "license": "22775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.