Individual provider Active NPI

Landon Taylor Baird, DDS

  • General Practice Dentistry
  • Wichita Falls, TX
National Provider Identifier
1770852014
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26493 Issued in TX
Practice address
1810 Southwest Pkwy
Suite 100
Wichita Falls, TX 76302-4700
Phone
(940) 723-1511
Fax
(940) 723-1514
NPI assigned
Dec 15, 2011
Last updated
Dec 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26493 TX Primary

Addresses

Primary practice location

1810 Southwest Pkwy
Suite 100
Wichita Falls, TX 76302-4700

Mailing address

1810 Southwest Pkwy
Suite 100
Wichita Falls, TX 76302-4700
Phone (940) 723-1511

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26493TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1770852014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 SOUTHWEST PKWY",
            "address_2": "SUITE 100",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763024700",
            "telephone_number": "940-723-1511",
            "fax_number": "940-723-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 SOUTHWEST PKWY",
            "address_2": "SUITE 100",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763024700",
            "telephone_number": "940-723-1511",
            "fax_number": "940-723-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "LANDON",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.