Baker, Dest, Baker, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5283 Issued in NC

Legal business name

BAKER, DEST, BAKER, DDS, PLLC

Doing business as

Kings Mountain Medicaid Dentistry

Practice address

107 E Mountain St
Kings Mountain, NC 28086-3442

Phone

(704) 739-4473

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Richard F Dest, DDS

Title

Registered Agent/Member

Phone

(704) 547-1279

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kings Mountain Medicaid Dentistry Doing business as

Locations

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1578720967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 UNIVERSITY EXEC PARK DR",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621361",
            "telephone_number": "704-547-1279",
            "fax_number": "704-547-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MOUNTAIN ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863442",
            "telephone_number": "704-739-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER, DEST, BAKER, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "DEST",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "REGISTERED AGENT/MEMBER",
        "authorized_official_telephone_number": "704-547-1279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890175T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kings Mountain Medicaid Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andy Hollifield, D.M.D., P.a.
• Margot Grace Appleby, NP
• Mary Asgari
• Katherine Leigh Babuka, MS, CCC-SLP
• Bryan Scott Baker, DDS
• Robert Baker, DMD
• Stephen Alan Baker, DDS
• Catherine Barker
• Cody Evan Barrett, DDS
• Barrington on the Green Properties, LLC

• General Practice Dentistry in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.