Organization Active NPI

Dustin Baker MD PC

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1629342027
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23973 Issued in OK
Legal business name
DUSTIN BAKER MD PC
Practice address
6501 NE 50TH St
Oklahoma City, OK 73141-9118
Phone
(405) 470-6510
Fax
(405) 470-6520
NPI assigned
Mar 2, 2012
Last updated
Mar 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Dr. Dustin Baker, M.D.NPI 1154360436
Title
President
Phone
(405) 470-6510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23973 OK Primary

Addresses

Primary practice location

6501 NE 50TH St
Oklahoma City, OK 73141-9118

Mailing address

3529 NW 174TH St
Edmond, OK 73012-6732
Phone (405) 470-6510

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1629342027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 NW 174TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126732",
            "telephone_number": "405-470-6510",
            "fax_number": "405-470-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 NE 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731419118",
            "telephone_number": "405-470-6510",
            "fax_number": "405-470-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSTIN BAKER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-470-6510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.