Active NPI
Fayez A Baki, DDS
- General Practice Dentistry
- Bethlehem, PA
National Provider Identifier
1801980883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS035715
- Practice address
- 2571 Baglyos Cir Ste B34
Bethlehem, PA 18020-8048 - Phone
- (610) 849-2777
- Fax
- (610) 759-7633
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS035715 | PA | Primary |
Addresses
Primary practice location
2571 Baglyos Cir Ste B34
Bethlehem, PA 18020-8048
Mailing address
2571 Baglyos Cir Ste B34
Bethlehem, PA 18020-8048
Phone (610) 849-2777
Other practice location 1
241 E North St
Nazareth, PA 18064-1608
Phone (610) 759-0906
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS035715 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Family Dentistry LLC | Current | Accepting new patients | |
| Bluebird Family Dental PC | General Practice | Past | Accepting new patients |
Locations
2571 Baglyos Cir
Ste B34
Bethlehem, PA 18020
Phone (484) 821-1373
241 E North St
Nazareth, PA 18064
Phone (610) 759-0906
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Bethlehem, PA
- NPI 1477172252
-
- General Practice Dentistry
- Nazareth, PA
- NPI 1356136824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1801980883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2571 BAGLYOS CIR STE B34",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180208048",
"telephone_number": "610-849-2777",
"fax_number": "610-759-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2571 BAGLYOS CIR STE B34",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180208048",
"telephone_number": "610-849-2777",
"fax_number": "610-759-7633"
}
],
"practiceLocations": [
{
"address_1": "241 E North St",
"address_purpose": "LOCATION",
"city": "Nazareth",
"state": "PA",
"postal_code": "180641608",
"country_code": "US",
"telephone_number": "610-759-0906",
"fax_number": "610-759-7633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKI",
"first_name": "FAYEZ",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS035715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.