Individual provider Active NPI

Zachary Wayne Baker, DMD

  • Dentist
  • Millbrook, AL
National Provider Identifier
1871070953
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6560 Issued in AL
Practice address
720 Monument Dr
Millbrook, AL 36054-1849
Phone
(334) 285-3797
NPI assigned
Jul 23, 2018
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6560 AL Primary

Addresses

Primary practice location

720 Monument Dr
Millbrook, AL 36054-1849

Mailing address

114 E Poplar St
Prattville, AL 36066-3639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20220706001500 AL Practitioner - Dentist 1456731652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6560ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Health Center Inc CurrentSince Jul 1, 2022 Accepting new patients
Christ Health Center Inc CurrentSince Jul 1, 2022 Accepting new patients
Denton Dental of Millbrook PC Past Accepting new patients

Locations

5720 1st Ave S
Birmingham, AL 35212
Phone (205) 380-9455

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1871070953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E POPLAR ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360663639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MONUMENT DR",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360541849",
            "telephone_number": "334-285-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ZACHARY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrook, AL

Sources for this page

Verify at the official NPI Registry.