Robert Warren Baker Jr., DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

041490 Issued in NY

Practice address

412 N Tioga St
Ithaca, NY 14850-4256

Phone

(607) 272-3921

NPI assigned

Feb 20, 2007

Last updated

Jan 15, 2013By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Baker Orthodontics

  dba Orthodontic Group of the Finger Lakes

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ithaca, NY
  • NPI 1518204254
  Authorized official Same address or phone

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1619012622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 TEHAN RD",
            "city": "FREEVILLE",
            "state": "NY",
            "postal_code": "130689677",
            "telephone_number": "607-844-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N TIOGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504256",
            "telephone_number": "607-272-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ROBERT",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "041490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan A Baker Carr, LCSW-R
• Baker Orthodontics (Orthodontic Group of the Finger Lakes)
• Diana Baker, BCBA
• Emily Baker, RN
• Kristin Baker, RN
• Francesca Balada, PSY.D.
• Jamie Balas, HEALTH EDUCATOR
• Derek Baldin
• Mary E Balliett, D.C.
• Nancy Banfield Johnson, NP

• Orthodontics and Dentofacial Orthopedics Dentistry in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.