Individual provider Active NPI

David M. Baker, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vancouver, WA
National Provider Identifier
1578567418
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE00010171 Issued in WA
Practice address
3425 SE 192ND Ave
Suite 120
Vancouver, WA 98683-1466
Phone
(360) 891-6500
Fax
(360) 684-9999
NPI assigned
Jun 9, 2005
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE00010171 WA Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D8322 OR

Addresses

Primary practice location

3425 SE 192ND Ave
Suite 120
Vancouver, WA 98683-1466

Mailing address

3425 SE 192ND Ave
Suite 120
Vancouver, WA 98683-1466
Phone (360) 891-6500

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
D8322ORMDOrthodontics and Dentofacial Orthopedic Dentist
DE00010171WAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578567418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 SE 192ND AVE",
            "address_2": "SUITE 120",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831466",
            "telephone_number": "360-891-6500",
            "fax_number": "360-684-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 SE 192ND AVE",
            "address_2": "SUITE 120",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831466",
            "telephone_number": "360-891-6500",
            "fax_number": "360-684-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "DAVID",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00010171",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D8322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.