Organization Active NPI

Ryan B Baker DMD Apdc

Doing business as Baker Pediatric Dental Care

  • Dentist
  • Menifee, CA
National Provider Identifier
1952932055
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RYAN B BAKER DMD APDC
Doing business as
Baker Pediatric Dental Care
Practice address
27180 Newport Rd Ste 3
Menifee, CA 92584-7389
Phone
(951) 672-1666
NPI assigned
Jan 28, 2020
Organization subpart
Yes
Parent organization
BAKER PEDIATRIC DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Cathy Loyola
Title
Manager
Phone
(949) 771-7381

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

27180 Newport Rd Ste 3
Menifee, CA 92584-7389

Mailing address

14591 Newport Ave Ste 108
Tustin, CA 92780-6026
Phone (949) 771-7234

Other identifiers 1

IdentifierTypeStateIssuer
64066OtherCADENTAL BOARD OF CALIFORNIA

Other names 1

  • BAKER PEDIATRIC DENTAL CARE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.BAKERPEDIATRICDENTALCARE.COM Direct

National Provider Directory

National Provider Directory
Tax ID family
Ryan B Baker DMD a Professional Dental Corporation3 organizations share this tax ID, including this one
Part of
Ryan B Baker DMD a Professional Dental Corporation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27180 Newport Rd
Ste 3
Menifee, CA 92584
Phone (951) 672-1666

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1952932055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14591 NEWPORT AVE STE 108",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806026",
            "telephone_number": "949-771-7234",
            "fax_number": "949-771-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27180 NEWPORT RD STE 3",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847389",
            "telephone_number": "951-672-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN B BAKER DMD APDC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAKER PEDIATRIC DENTAL CARE",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "LOYOLA",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-771-7381"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "64066",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.BAKERPEDIATRICDENTALCARE.COM",
            "affiliation": "N",
            "endpointDescription": "WWW.BAKERPEDIATRICDENTALCARE.COM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "27180 Newport Rd Ste 3",
            "city": "Menifee",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925847389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BAKER PEDIATRIC DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.