Jeffrey T Baker DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEFFREY T BAKER DDS PC

Practice address

8152 25 Mile Rd Ste C
Shelby TWP, MI 48316

Phone

(586) 992-9222

Fax

(586) 992-0814

NPI assigned

Aug 5, 2020

Organization subpart

Yes

Parent organization

JEFFREY T BAKER DDS PCAs reported in NPPES

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

Authorized official

Name

Jeffrey T Baker, DDS

Title

Dentist

Phone

(586) 992-9222

Specialties & licenses 1

Addresses

Part of

Jeffrey T Baker DDS PC

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1679183552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8152 25 MILE RD STE C",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "48316",
            "telephone_number": "586-992-9222",
            "fax_number": "586-992-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8152 25 MILE RD STE C",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "48316",
            "telephone_number": "586-992-9222",
            "fax_number": "586-992-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY T BAKER DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFREY T BAKER DDS PC",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-992-9222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.