Active NPI
Steven Tyler Baker, DMD
- Dentist
- Niceville, FL
National Provider Identifier
1912427253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22781
- Practice address
- 908 Palm Blvd S
Niceville, FL 32578-2603 - Phone
- (727) 902-7115
- NPI assigned
- Jun 27, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN22781 | FL | Primary |
Addresses
Primary practice location
908 Palm Blvd S
Niceville, FL 32578-2603
Mailing address
226 Palm LN N
St Petersburg, FL 33710-7718
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN22781 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498521600000",
"number": "1912427253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 PALM LN N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337107718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 PALM BLVD S",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325782603",
"telephone_number": "727-902-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "STEVEN",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-27",
"last_updated": "2017-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.