Individual provider Active NPI

Thomas Lane Baker

  • Contractor
  • Houston, TX
National Provider Identifier
1699581561
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
GC069 Issued in MO
Practice address
5338 Rapido Rd
A-1
Houston, TX 77033
Phone
(424) 272-5512
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X GC069 MO Primary

Addresses

Primary practice location

5338 Rapido Rd
A-1
Houston, TX 77033

Mailing address

5338 Rapido Rd
A-1
Houston, TX 77033
Phone (424) 272-5512

Other names 1

  • Mr. Tom Baker Other name

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

LicenseStateTypeSpecialty
GC069MOMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1699581561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5338 RAPIDO RD",
            "address_2": "A-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77033",
            "telephone_number": "424-272-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5338 RAPIDO RD",
            "address_2": "A-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77033",
            "telephone_number": "424-272-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "THOMAS",
        "middle_name": "LANE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MO",
            "license": "GC069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "BAKER",
            "prefix": "MR.",
            "credential": "TOM BAKER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.