Organization Active NPI

Baldwin Dental, Inc

  • General Practice Dentistry
  • Panama City, FL
National Provider Identifier
1669019873
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BALDWIN DENTAL, INC
Practice address
528 W Baldwin Rd
Panama City, FL 32405-3313
Phone
(850) 215-0128
NPI assigned
Dec 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Authorized official

Name
Jamie McBrayer
Title
Office Manager
Phone
(850) 215-0128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

528 W Baldwin Rd
Panama City, FL 32405-3313

Mailing address

528 W Baldwin Rd
Panama City, FL 32405-3313
Phone (850) 215-0128

National Provider Directory

National Provider Directory

Locations

528 W Baldwin Rd
Panama City, FL 32405
Phone (850) 215-0128

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1669019873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 W BALDWIN RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053313",
            "telephone_number": "850-215-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 W BALDWIN RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053313",
            "telephone_number": "850-215-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "MCBRAYER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-215-0128"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.