Organization Active NPI

Baker Center for Plastic Surgery PC

  • Plastic Surgery Physician
  • Denver, CO
National Provider Identifier
1629264254
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
43027 Issued in CO
Legal business name
BAKER CENTER FOR PLASTIC SURGERY PC
Practice address
1601 E 19TH Ave
Suite 3050
Denver, CO 80218-1216
Phone
(303) 563-3318
Fax
(303) 563-3319
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. Matthew B Baker, M.D.
Title
Physician
Phone
(303) 563-3318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 43027 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave
Suite 3050
Denver, CO 80218-1216

Mailing address

1601 E 19TH Ave
Suite 3050
Denver, CO 80218-1216
Phone (303) 563-3318

Other identifiers 1

IdentifierTypeStateIssuer
83381872MedicaidCO

National Provider Directory

National Provider Directory

Locations

5161 E Arapahoe Rd
Ste 340
Centennial, CO 80122
Phone (303) 563-3318

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1629264254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 3050",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-563-3318",
            "fax_number": "303-563-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 3050",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-563-3318",
            "fax_number": "303-563-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER CENTER FOR PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "303-563-3318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "43027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83381872",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.