Craig Baker DMD PL

Primary specialty

DentistTaxonomy code 122300000X

License

DN 17163 Issued in FL

Legal business name

CRAIG BAKER DMD PL

Practice address

13501 Icot Blvd
Suite 101
Clearwater, FL 33760-3729

Phone

(727) 531-4462

Fax

(727) 210-1754

NPI assigned

Apr 2, 2008

Organization subpart

Yes

Parent organization

CRAIG BAKER DMD PLAs reported in NPPES

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

Authorized official

Name

Craig Baker, DMD

Title

Ceo

Phone

(813) 451-9658

Specialties & licenses 1

Addresses

Other names 1

• Da Vinci Cosmetic and Family Dentistry Other name

Part of

Craig Baker DMD PL

Locations

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1730351404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13501 ICOT BLVD",
            "address_2": "SUITE 101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603729",
            "telephone_number": "727-531-4462",
            "fax_number": "727-210-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 ICOT BLVD",
            "address_2": "SUITE 101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603729",
            "telephone_number": "727-531-4462",
            "fax_number": "727-210-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG BAKER DMD PL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRAIG BAKER DMD PL",
        "enumeration_date": "2008-04-02",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-451-9658",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 17163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Da Vinci Cosmetic and Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chivon Tanara Cowart, MSW
• Amy Marie Cox
• CPS Surgery Center, LLC
• CR & Ra Investments LLC
• Douglas Edward Craddock, LMHC, LPCC
• Charles Patrick Craig, DC
• Stephanie Craig
• Julia Ann Cramer, CRNA
• Charles Frederick Crandall, D.C.
• Katlyn Renee Crandall, M.A, CCC-SLP

• Dentist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.