Kevin Baethge, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

#30086 Issued in TX

Practice address

4907 Sandhill Dr Ste C
Sugar Land, TX 77479-5352

Phone

(281) 565-8822

NPI assigned

Jun 16, 2014

Last updated

May 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1528472750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 SANDHILL DR STE C",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795352",
            "telephone_number": "281-565-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 SANDHILL DR STE C",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795352",
            "telephone_number": "281-565-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAETHGE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "#30086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Badar & Badar PLLC (House Call Doctor of Houston)
• Shahid Badar, M.D.
• Steve Badeaux
• Anish Badjatiya, MD
• Jerry Paul Baethge, DDS
• Jenny Bahena
• Shawn A. Baichoo, M.D.
• Mahvash Baig
• Andrea Latrice-Chantal Bailey
• Christopher Wayne Bailey, LMFT

• General Practice Dentistry in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.