Anthony P Baddoo, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS030521L Issued in PA

Practice address

4500 William Penn Hwy
Easton, PA 18045-4845

Phone

(610) 923-8340

Fax

(610) 923-8342

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rose Dental Center LLC

  • General Practice Dentistry
  • Easton, PA
  • NPI 1619279643

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1720151772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 WILLIAM PENN HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180454845",
            "telephone_number": "610-923-8340",
            "fax_number": "610-923-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 WILLIAM PENN HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180454845",
            "telephone_number": "610-923-8340",
            "fax_number": "610-923-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADDOO",
        "first_name": "ANTHONY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030521L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Aviles Perez, LMFT
• Ayesha Farooq, PLLC
• Deanne Babio, CRNP
• Leopoldo Miguel Baccaro, M.D.
• Back in Line Chiropractic and Wellness Center, PC
• Jasmine Badillo, CRNP
• Stuart Badner, PSY.D.
• Kamarveer Singh Baidwan, DMD
• Sara Jahan Baig, M.D.
• Dominique C Bailey, MD, FAAP

• All providers in Easton, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.