Organization Active NPI

Bryan S Baker DDS and Stephen a Baker DDS PA

  • General Practice Dentistry
  • Kings Mountain, NC
National Provider Identifier
1780769836
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5999 Issued in NC
Legal business name
BRYAN S BAKER DDS AND STEPHEN A BAKER DDS PA
Practice address
703 E King St Ste 9
Kings Mountain, NC 28086-3285
Phone
(704) 739-4461
Fax
(704) 739-8286
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Dr. Bryan Scott Baker, DDSNPI 1841219524
Title
Dentist
Phone
(704) 739-4461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5999 NC Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

703 E King St Ste 9
Kings Mountain, NC 28086-3285

Mailing address

703 E King St Ste 9
Kings Mountain, NC 28086-3285
Phone (704) 739-4461

Other names 1

  • Baker Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

703 E King St
Ste 9
Kings Mountain, NC 28086
Phone (704) 739-4461

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1780769836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E KING ST STE 9",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863285",
            "telephone_number": "704-739-4461",
            "fax_number": "704-739-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E KING ST STE 9",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863285",
            "telephone_number": "704-739-4461",
            "fax_number": "704-739-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN S BAKER DDS AND STEPHEN A BAKER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-739-4461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5999",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baker Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baker Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.