Individual provider Active NPI

Dean Baugh, D.D.S.

  • Endodontics
  • Tamuning, GU
National Provider Identifier
1902175334
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D1007 Issued in GU
Practice address
548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone
(671) 646-5824
Fax
(671) 647-3556
NPI assigned
Dec 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D1007 GU Primary

Addresses

Primary practice location

548 S Marine Corps Dr
Tamuning, GU 96913-3539

Mailing address

PO Box 6578
Tamuning, GU 96931-6578
Phone (671) 646-6956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D1007GUMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1902175334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6578",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969316578",
            "telephone_number": "671-646-6956",
            "fax_number": "671-647-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 S MARINE CORPS DR",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133539",
            "telephone_number": "671-646-5824",
            "fax_number": "671-647-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GU",
            "license": "D1007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.