Benjamin A. Baptist, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019027923 Issued in IL

Practice address

3838 W 111TH St
Suit #111
Chicago, IL 60655-4095

Phone

(773) 233-1249

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• David B Baptist DDS PC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1841372208
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1578790002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 W 111TH ST",
            "address_2": "SUIT #111",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606554095",
            "telephone_number": "773-233-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 W 111TH ST",
            "address_2": "SUIT #111",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606554095",
            "telephone_number": "773-233-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAPTIST",
        "first_name": "BENJAMIN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Carlos Banuelos
• Nuvia Banuelos
• Eleanor Resane Banzon, M.D.
• Rhett Enriquez Banzon, PT
• Theresa Banzuela, COTA/L
• Brian D Baptist, D.D.S., M.S.
• Guilherme Baptista de Faria, M.D.
• Jacqueline A Baptista, ANP-BC
• Donna R. Baptiste, ED.D
• Melissa J Baptiste, P.T.

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.