Bruce Arthur Baker, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9735 Issued in MN

Practice address

415 N 2ND St
Suite 2 D
Tower, MN 55790-0417

Phone

(218) 753-2405

Fax

(218) 361-3277

NPI assigned

Jan 2, 2007

Last updated

Mar 19, 2014By the provider in NPPES

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

Other identifiers 1

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1699832410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 2ND ST",
            "address_2": "SUITE 2 D",
            "city": "TOWER",
            "state": "MN",
            "postal_code": "557900417",
            "telephone_number": "218-753-2405",
            "fax_number": "218-361-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 2ND ST",
            "address_2": "SUITE 2 D",
            "city": "TOWER",
            "state": "MN",
            "postal_code": "557900417",
            "telephone_number": "218-753-2405",
            "fax_number": "218-361-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BRUCE",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "958520600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Christine Anderson, RN, PHN
• Emily A. Barto, MS
• Bois Forte Reservation Tribal Council (Bois Forte Human Services)
• Bois Forte Reservation Tribal Government (New Moon)
• Megan Dawn Chavers, PHARMD
• City of Tower (Tower Ambulance Service)

• General Practice Dentistry in Tower, MN
• Providers in Tower, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.