Active NPI
Robert Thomas Baird, DDS PC
- Dentist
- Woodbine, GA
National Provider Identifier
1720180573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9525
- Practice address
- 308 Bedell Ave
Woodbine, GA 31569-0488 - Phone
- (912) 576-5506
- Fax
- (912) 576-5888
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9525 | GA | Primary |
Addresses
Primary practice location
308 Bedell Ave
Woodbine, GA 31569-0488
Mailing address
PO Box 488
Woodbine, GA 31569-0488
Phone (912) 576-5506
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9180224 | Other | GA | DORAL DENTAL USA LLC |
| 000794323 | Other | GA | TRICARE/UNITED CONCORDIA |
| 00244835A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 7, 2016 through May 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9525 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1720180573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 488",
"city": "WOODBINE",
"state": "GA",
"postal_code": "315690488",
"telephone_number": "912-576-5506",
"fax_number": "912-576-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 BEDELL AVE",
"city": "WOODBINE",
"state": "GA",
"postal_code": "315690488",
"telephone_number": "912-576-5506",
"fax_number": "912-576-5888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIRD",
"first_name": "ROBERT",
"middle_name": "THOMAS",
"credential": "DDS PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "9525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL DENTAL USA LLC",
"identifier": "9180224",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/UNITED CONCORDIA",
"identifier": "000794323",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00244835A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbine, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.