Active NPI
Sumita Chakraborti Singh-Baker, D.D.S.
- General Practice Dentistry
- Lakeway, TX
National Provider Identifier
1568611978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23056
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 23056 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nusmile Studio PLLC | Current | 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.
-
- Dental Clinic/Center
- Lakeway, TX
- NPI 1952122160
-
- Dentist
- Austin, TX
- NPI 1629638085
-
dba Gregg E. Ueckert, DDS
- General Practice Dentistry
- Austin, TX
- NPI 1164865325
-
- General Practice Dentistry
- Austin, TX
- NPI 1851667729
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.