John Patrick Baker, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401-006109 Issued in VA

Practice address

1170 Lexan Ave
Suite 187
Norfolk, VA 23508-1237

Phone

(757) 440-1360

Fax

(757) 440-1361

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Benjamin McCarty DMD PLLC

  • Dentist
  • Norfolk, VA
  • NPI 1699244210
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831283563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 LEXAN AVE",
            "address_2": "SUITE 187",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235081237",
            "telephone_number": "757-440-1360",
            "fax_number": "757-440-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 LEXAN AVE",
            "address_2": "SUITE 187",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235081237",
            "telephone_number": "757-440-1360",
            "fax_number": "757-440-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401-006109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Baird, PT, ATC
• Matthew J Bak, M.D.
• Michele Roullet Bak, MD
• Jodi Shani Baker-Hutchinson, LCSW
• Courtney Bridget Baker, DMD
• Leah Baker, PA-C
• Lenox D Baker, MD
• Monica G Baker, M.D.
• Nicole Baker, CPNP-PC
• Amanda Bakko, MS RDN

• Dentist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Dentist in Virginia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.