Organization Active NPI

Edward E. Baker, D.D.S., P.a.

  • General Practice Dentistry
  • Caldwell, NJ
National Provider Identifier
1518094697
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10634 Issued in NJ
Legal business name
EDWARD E. BAKER, D.D.S., P.A.
Practice address
45 Smull Ave
Caldwell, NJ 07006-5001
Phone
(973) 228-0200
Fax
(973) 228-1708
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward E Baker, D.D.S.NPI 1417009275
Title
President
Phone
(973) 228-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 10634 NJ Primary

Addresses

Primary practice location

45 Smull Ave
Caldwell, NJ 07006-5001

Mailing address

45 Smull Ave
Caldwell, NJ 07006-5001
Phone (973) 228-0200

National Provider Directory

National Provider Directory

Locations

45 Smull Ave
Caldwell, NJ 07006
Phone (973) 228-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518094697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SMULL AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065001",
            "telephone_number": "973-228-0200",
            "fax_number": "973-228-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SMULL AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065001",
            "telephone_number": "973-228-0200",
            "fax_number": "973-228-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD E. BAKER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-228-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "10634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.