Mary Anne Baechle

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

71-000163 Issued in OH

Practice address

521 N 11TH St
Richmond, VA 23298-5045

Phone

(804) 628-0213

Fax

(804) 828-2185

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1659421089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 OLD HEARTH CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331510",
            "telephone_number": "804-360-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N 11TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985045",
            "telephone_number": "804-628-0213",
            "fax_number": "804-828-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAECHLE",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "71-000163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL FULL TIME FACULTY LICENSE",
            "identifier": "0411000046",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "30-022482",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "19478",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED TEACHING LICENSE",
            "identifier": "71-000163",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pearl J Bader, M.D.
• Anish Jayantilal Badodariya, M.D.
• Narotham N Badrish, MD
• Ebone Charmaine Evans Bady, MD
• Rebecca Bae, PA-C
• Matthew Stephen Baer, MD
• Sara Baffuto, NP
• Bagby & Shaw, Inc.
• John Rand Baggesen, MD
• Aline Ara Baghdassarian, MD

• General Practice Dentistry in Richmond, VA
• Providers in Richmond, VA by specialty
• General Practice Dentistry in Virginia

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