Emer B Bajuelos, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

208732 Issued in AK

Practice address

4076 Neely Road
Bassett Army Community Hospital
Fort Wainwright, AK 99703

Phone

(907) 361-5135

Fax

(907) 361-4847

NPI assigned

Jun 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1811418098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 DANBY ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4076 NEELY ROAD",
            "address_2": "BASSETT ARMY COMMUNITY HOSPITAL",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "99703",
            "telephone_number": "907-361-5135",
            "fax_number": "907-361-4847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Old Chena Pump Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997092963",
            "country_code": "US",
            "telephone_number": "907-921-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Danby St",
            "address_2": "Advanced Family Dentistry",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014372",
            "country_code": "US",
            "telephone_number": "907-374-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAJUELOS",
        "first_name": "EMER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "208732",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "208732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Ryan Andreas, PHYSICIAN ASSISTANT
• Maria Isabel Aponte Torres, PA-C
• Michael V. Arnett, MD
• Timothy W Atkinson, MD
• Ashley Lynn Bain, R.N.
• Kathryn Baker, MSN, FNP-C
• Bassett Army Community Hospital
• Bassett Army Community Hospital (Kamish Clinic-Wainwright)
• Bassett Army Community Hospital (Combined Med SVCS C-Wainwright)
• Bassett Army Community Hospital (Usadc Wainwright-Kamish)

• Dentist in Fort Wainwright, AK
• Providers in Fort Wainwright, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.