Organization Active NPI

Mariana Baker DDS PC

  • General Practice Dentistry
  • Buffalo Grove, IL
National Provider Identifier
1831278241
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARIANA BAKER DDS PC
Practice address
1431 McHenry Rd
106
Buffalo Grove, IL 60089-1372
Phone
(847) 883-8707
NPI assigned
Nov 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mariana Baker, DDSNPI 1124160783
Title
President
Phone
(847) 883-8707

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1431 McHenry Rd
106
Buffalo Grove, IL 60089-1372

Mailing address

1431 McHenry Rd
106
Buffalo Grove, IL 60089-1372
Phone (847) 883-8707

National Provider Directory

National Provider Directory

Locations

1431 McHenry Rd
Ste 106
Buffalo Grove, IL 60089
Phone (847) 383-6217

Practitioners & affiliated clinicians

Practitioners 1

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": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831278241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 MCHENRY RD",
            "address_2": "106",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891372",
            "telephone_number": "847-883-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 MCHENRY RD",
            "address_2": "106",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891372",
            "telephone_number": "847-883-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANA BAKER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-883-8707",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.