Denton Healthcare PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DENTON HEALTHCARE PLLC

Practice address

18539 S NC Highway 109
Denton, NC 27239-7713

Phone

(336) 859-5001

Fax

(336) 859-1952

NPI assigned

Jul 16, 2008

Last updated

Aug 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clifton Ayres Baker, M.D.NPI 1053370098

Title

Co-Owner

Phone

(336) 859-5001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Clifton A Baker, MD

  • General Practice Physician
  • Denton, NC
  • NPI 1053370098

  Family Medicine

  Medicare reassignment NPD Authorized official
• Helen Blackburn

  • Primary Care Nurse Practitioner
  • Denton, NC
  • NPI 1932215563
  Medicare reassignment NPD
• J Ruth Smith, DNP, FNP-BC, RN

  • Primary Care Nurse Practitioner
  • Denton, NC
  • NPI 1467178830
  Medicare reassignment NPD

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1891959094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18539 S NC HIGHWAY 109",
            "city": "DENTON",
            "state": "NC",
            "postal_code": "272397713",
            "telephone_number": "336-859-5001",
            "fax_number": "336-859-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18539 S NC HIGHWAY 109",
            "city": "DENTON",
            "state": "NC",
            "postal_code": "272397713",
            "telephone_number": "336-859-5001",
            "fax_number": "336-859-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "AYRES",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "336-859-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Brooks
• Rebecca Combs, PTA
• Conciergency LLC
• Tony Martin Cranford, OD
• Noreen Sales Cunanan
• Kevin Dorman
• Carrie Allyson Dyer
• FH Mangundayao & FC Mangundayao PTR
• G. Chris Holdaway, DDS, II, PA (Denton Dental)
• Nicole Leigh Gallimore, ITFS/B-K

• General Practice Physician in Denton, NC
• Providers in Denton, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.