NPIMap

Organization Active NPI

Roxann Baker DDS PC

  • Dentist
  • Southfield, MI
National Provider Identifier
1699131698
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901013077 Issued in MI
Legal business name
ROXANN BAKER DDS PC
Practice address
20905 Greenfield Rd
208
Southfield, MI 48075-5360
Phone
(248) 569-3490
Fax
(248) 569-3471
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Dr. Roxann BakerNPI 1154370450
Title
Dentist
Phone
(248) 569-3490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901013077 MI Primary

Addresses

Primary practice location

20905 Greenfield Rd
208
Southfield, MI 48075-5360

Mailing address

20905 Greenfield Rd
Suite.208
Southfield, MI 48075-5360
Phone (248) 569-3490

National Provider Directory

National Provider Directory

Locations

20905 Greenfield Rd
Ste 208
Southfield, MI 48075
Phone (248) 569-3490

Practitioners & affiliated clinicians

Practitioners 1

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": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1699131698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD",
            "address_2": "SUITE.208",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755360",
            "telephone_number": "248-569-3490",
            "fax_number": "248-569-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD",
            "address_2": "208",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755360",
            "telephone_number": "248-569-3490",
            "fax_number": "248-569-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANN BAKER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ROXANN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-569-3490",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901013077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.