Individual provider Active NPI

Sumita Chakraborti Singh-Baker, D.D.S.

  • General Practice Dentistry
  • Lakeway, TX
National Provider Identifier
1568611978
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23056 Issued in TX
Practice address
1213 Ranch Road 620 S Ste 250
Lakeway, TX 78734-6340
Phone
(512) 619-3514
NPI assigned
Sep 10, 2008
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23056 TX Primary

Addresses

Primary practice location

1213 Ranch Road 620 S Ste 250
Lakeway, TX 78734-6340

Mailing address

3907 John Simpson TRL
Austin, TX 78732-2265
Phone (512) 619-3514

Other practice location 1

7030 Village Center Dr
Austin, TX 78731-3024
Phone (512) 345-3166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23056TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nusmile Studio PLLC CurrentSince Oct 27, 2024 Accepting new patients
Gregg Edward Ueckert, PLLC General Practice Past Accepting new patients
Glllv, PLLC Dentist Past Accepting new patients
Quinlan Park Dental General Practice Past Accepting new patients

Locations

1213 Ranch Road 620 S
Ste 205
Lakeway, TX 78734
Phone (512) 263-8337

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1568611978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 JOHN SIMPSON TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787322265",
            "telephone_number": "512-619-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 RANCH ROAD 620 S STE 250",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346340",
            "telephone_number": "512-619-3514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7030 Village Center Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787313024",
            "country_code": "US",
            "telephone_number": "512-345-3166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH-BAKER",
        "first_name": "SUMITA",
        "middle_name": "CHAKRABORTI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.