Jeffrey Sumner Baxter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.017301 Issued in OH

Practice address

777 Columbus Ave
Lebanon, OH 45036-1684

Phone

(513) 932-5856

Fax

(513) 932-6067

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delhi Dental Assoc. JS Baxter DDS Inc

  dba Baxter Dental Care

  • Dental Clinic/Center
  • Lebanon, OH
  • NPI 1548334600
  Authorized official Same address or phone

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689749988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 COLUMBUS AVE",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361684",
            "telephone_number": "513-932-5856",
            "fax_number": "513-932-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 COLUMBUS AVE",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361684",
            "telephone_number": "513-932-5856",
            "fax_number": "513-932-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "JEFFREY",
        "middle_name": "SUMNER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.017301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey L Baltzer, MPT
• Brittany Banks
• Bobbie Barnett
• Grant Thomas Bartee, P.E.
• Susan Bault, OTR/L
• Baymark Health Services of Ohio, Inc. (MedMark Treatment Centers Lebanon)
• Kamila Bayramzade
• Lindsay Bays, LSW
• Latisha M Bazin
• Beacon Orthopaedics & Sports Medicine, LTD

• General Practice Dentistry in Lebanon, OH
• Providers in Lebanon, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.