Individual provider Active NPI

Jessica Michelle Baron, D.M.D.

  • Pediatric Dentistry
  • Brooklyn, NY
National Provider Identifier
1700273224
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11384 Issued in SC
Practice address
293 Court St
Brooklyn, NY 11231-0939
Phone
(347) 652-2181
NPI assigned
Apr 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 11384 SC Primary
Pediatric Dentistry 1223P0221X 058796-1 NY
General Practice Dentistry 1223G0001X 8677 SC

Addresses

Primary practice location

293 Court St
Brooklyn, NY 11231-0939

Mailing address

1701 Beaucastle Rd Ste a
Mt Pleasant, SC 29464-3685
Phone (843) 892-1101

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8677SCMDClinical Social Worker
058796-1NYMDPediatric Dentist
11384SCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
State Street Smiles PastSince Jun 1, 2022 Accepting new patients
State Street-Orthodontics LLC PastSince Jun 1, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1700273224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BEAUCASTLE RD STE A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643685",
            "telephone_number": "843-892-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112310939",
            "telephone_number": "347-652-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "11384",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "058796-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.