Organization Active NPI

Dorsey W.Baker D.D.S. PLC

  • Dental Clinic/Center
  • Glendale, AZ
National Provider Identifier
1700947827
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3760 Issued in AZ
Legal business name
DORSEY W.BAKER D.D.S. PLC
Practice address
18275 N 59TH Ave
Ste 150
Glendale, AZ 85308-1260
Phone
(602) 942-0623
Fax
(602) 942-2409
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Dr. Dorsey W Baker, D.D.S.
Title
Member
Phone
(602) 942-0623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3760 AZ Primary

Addresses

Primary practice location

18275 N 59TH Ave
Ste 150
Glendale, AZ 85308-1260

Mailing address

18275 N 59TH Ave
Ste 150
Glendale, AZ 85308-1260
Phone (602) 942-0623

Other identifiers 1

IdentifierTypeStateIssuer
3760OtherAZARIZONA DENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

18275 N 59th Ave
Ste 150
Glendale, AZ 85308
Phone (602) 942-0623

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1700947827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE",
            "address_2": "STE 150",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "602-942-0623",
            "fax_number": "602-942-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE",
            "address_2": "STE 150",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "602-942-0623",
            "fax_number": "602-942-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORSEY W.BAKER D.D.S. PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DORSEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-942-0623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "3760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DENTAL LICENSE",
            "identifier": "3760",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.