Active NPI
Sally Baqer
- Dentist
- Philadelphia, PA
National Provider Identifier
1689397143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS043786
- Practice address
- 5828 Market St
Philadelphia, PA 19139-3152 - Phone
- (610) 589-0153
- NPI assigned
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS043786 | PA | Primary |
Addresses
Primary practice location
5828 Market St
Philadelphia, PA 19139-3152
Mailing address
625 E Lancaster Ave Apt A203
Wynnewood, PA 19096-2023
Phone (832) 807-8949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS043786 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1689397143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 E LANCASTER AVE APT A203",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190962023",
"telephone_number": "832-807-8949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5828 MARKET ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191393152",
"telephone_number": "610-589-0153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAQER",
"first_name": "SALLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "PA",
"license": "DS043786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.