Amelia Haffner Baugh, DDS

Key facts

NPI

1891956348

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

24024 (TX)

Practice address

1373 Avondale Haslet Rd
Haslet, TX 76052-3511

Phone

(817) 847-0100

Fax

(817) 847-0126

NPI assigned

Jun 18, 2008

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Amelia Haffner Baugh, DDS, PA Dental Clinic/Center · Haslet, TX · NPI 1689983413
  NPD (past) Authorized official
• Scott Law Ortho Corp, PC Orthodontics and Dentofacial Orthopedics Dentistry · Plano, TX · NPI 1689109977
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 2, 2012.

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1891956348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 AVONDALE HASLET RD",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523511",
            "telephone_number": "817-847-0100",
            "fax_number": "817-847-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 AVONDALE HASLET RD",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523511",
            "telephone_number": "817-847-0100",
            "fax_number": "817-847-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "AMELIA",
        "middle_name": "HAFFNER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193084401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216577101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Avondale Family Care PLLC
• Patricia Bailey
• Jamonte Banks, LCSW
• Doug Barnes, ATC LAT
• Joy Annalee Bate, O.D., PH.D.
• Ann Bartlett Beal, LPC
• Begin Again Behavioral Health & Consulting
• Ashley Anne Bennett, RDH
• Aralee Anne Berke, SLP
• Hannah Nicole Berry, OTR

All providers in Haslet, TX · General Practice Dentistry in Texas