Lisa Marie Baines, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.027407 Issued in IL

Practice address

1905 Montana Dr
Suite 30
Springfield, IL 62704-7008

Phone

(217) 698-9300

Fax

(217) 698-9310

NPI assigned

Aug 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1679766638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 MONTANA DR",
            "address_2": "SUITE 30",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047008",
            "telephone_number": "217-698-9300",
            "fax_number": "217-698-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 MONTANA DR",
            "address_2": "SUITE 30",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047008",
            "telephone_number": "217-698-9300",
            "fax_number": "217-698-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINES",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lynne Bailey, M.S., CCC-SLP
• Lorena Marlene Bailey, BS MA PHYSICAL THERA
• Sarah E. Bailey, P.T.A.
• Joseph John Baima Jr., M.D.
• Baines Dental, LLC
• Makayla Marie Baird, RD, LD
• Ali Mustafa Bajwa, M.D.
• Tanya Bakamba
• Aimee Rachel Pampe Baker, DO
• Alyssa Marie Baker, RBT

• General Practice Dentistry in Springfield, IL
• Providers in Springfield, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.