Jessfor G Baugh, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

64960 Issued in TX

Practice address

151 Ridge Point Pkwy Ste 400
Keller, TX 76248-8801

Phone

(817) 952-8100

NPI assigned

Apr 20, 2017

Last updated

Mar 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1881128403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 RIDGE POINT PKWY STE 400",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762488801",
            "telephone_number": "603-702-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 RIDGE POINT PKWY STE 400",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762488801",
            "telephone_number": "817-952-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 Attucks Ln",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026011867",
            "country_code": "US",
            "telephone_number": "508-778-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 Pleasant Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Harwich",
            "state": "MA",
            "postal_code": "026451813",
            "country_code": "US",
            "telephone_number": "508-778-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 Harry Kemp Way",
            "address_purpose": "LOCATION",
            "city": "Provincetown",
            "state": "MA",
            "postal_code": "026571618",
            "country_code": "US",
            "telephone_number": "508-487-9395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18152 Preston Rd Unit I-2",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752525427",
            "country_code": "US",
            "telephone_number": "972-964-6949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 State Highway 121",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760394066",
            "country_code": "US",
            "telephone_number": "817-786-0837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "JESSFOR",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857622",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "64960",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prabha Basnet
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• Dustin Bassow, LMSW
• Vijaya Lakshmi Bathina, DMD
• Malina Lynn Bauer, RDH
• Julie Baughman
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• Bear Creek Pharmacy LLC
• Bear Creek Surgery Center, LLC
• Vickie Annette Beavers, LPC, LMFT

• Dentist in Keller, TX
• Providers in Keller, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.