Active NPI
Missy R Baker, DDS
- General Practice Dentistry
- Worthington, OH
National Provider Identifier
1811103526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19971
- Practice address
- 69 E Wilson Bridge Rd
Worthington, OH 43085-2301 - Phone
- (614) 431-3311
- Fax
- (614) 431-2466
- NPI assigned
- May 16, 2007
- Sex
- Female
- 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 | 19971 | OH | Primary |
Addresses
Primary practice location
69 E Wilson Bridge Rd
Worthington, OH 43085-2301
Mailing address
69 E Wilson Bridge Rd
Worthington, OH 43085-2301
Phone (614) 431-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19971 | Other | OH | DENTAL LICENSE |
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 |
|---|---|---|---|
| 19971 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Bill Coulman DDS Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba The Gentle Dentist
- General Practice Dentistry
- Worthington, OH
- NPI 1023337912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1811103526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 E WILSON BRIDGE RD",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430852301",
"telephone_number": "614-431-3311",
"fax_number": "614-431-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 E WILSON BRIDGE RD",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430852301",
"telephone_number": "614-431-3311",
"fax_number": "614-431-2466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MISSY",
"middle_name": "R",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "19971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "19971",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worthington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.