Organization Active NPI

David B Baptist DDS PC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1841372208
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19015601 Issued in IL
Legal business name
DAVID B BAPTIST DDS PC
Practice address
3838 W 111TH St
Suite 111
Chicago, IL 60655-4095
Phone
(773) 233-1249
Fax
(773) 233-6771
NPI assigned
Oct 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. David B Baptist
Title
President
Phone
(773) 233-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19015601 IL Primary

Addresses

Primary practice location

3838 W 111TH St
Suite 111
Chicago, IL 60655-4095

Mailing address

3838 W 111TH St
Suite 111
Chicago, IL 60655-4095
Phone (773) 233-1249

National Provider Directory

National Provider Directory

Locations

3838 W 111th St
Ste 111
Chicago, IL 60655
Phone (773) 233-1249

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841372208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 W 111TH ST",
            "address_2": "SUITE 111",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606554095",
            "telephone_number": "773-233-1249",
            "fax_number": "773-233-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 W 111TH ST",
            "address_2": "SUITE 111",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606554095",
            "telephone_number": "773-233-1249",
            "fax_number": "773-233-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B BAPTIST DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAPTIST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-233-1249",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19015601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, 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.