Jos J Bakker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8349 Issued in FL

Practice address

31 Perry Avenue
Fort Walton Beach, FL 32548-5612

Phone

(850) 244-0202

Fax

(850) 664-5124

NPI assigned

Mar 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801913926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PERRY AVENUE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485612",
            "telephone_number": "850-244-0202",
            "fax_number": "850-664-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PERRY AVENUE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485612",
            "telephone_number": "850-244-0202",
            "fax_number": "850-664-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKKER",
        "first_name": "JOS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "8349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "621151",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "66091",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "59006029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caleb Micah Bailey
• Tara Michelle Bailey, CRNA
• Thomas Daniel Bailey, MD FACS
• Megan Elizabeth Baker, PT, DPT
• Regina Marlene Baker, OTR/L
• Wendy Ballasch, LMT
• Anna Ballow
• Shanna Balzamo, PHARMD
• Baptist Medical Group LLC
• Baptist Physician Group LLC

• General Practice Dentistry in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.