Active NPI
Betita Baker Dental Partnership
- Oral & Maxillofacial Surgery (D.M.D.)
- Dana Point, CA
National Provider Identifier
1962068478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Legal business name
- BETITA BAKER DENTAL PARTNERSHIP
- Practice address
- 32241 Crown Valley Pkwy Ste 220
Dana Point, CA 92629-3310 - Phone
- (949) 240-2280
- NPI assigned
- May 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy Betita, DDS, MD
- Title
- Partner
- Phone
- (949) 240-2280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | Primary |
Addresses
Primary practice location
32241 Crown Valley Pkwy Ste 220
Dana Point, CA 92629-3310
Mailing address
32241 Crown Valley Pkwy Ste 220
Dana Point, CA 92629-3310
Phone (949) 240-2280
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2242355 | Betita Baker Dental Partnership | Certificate of waiver | Nov 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
32241 Crown Valley Pkwy
Ste 220
Dana Point, CA 92629
Phone (949) 240-2280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557446400000",
"number": "1962068478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32241 CROWN VALLEY PKWY STE 220",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926293310",
"telephone_number": "949-240-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32241 CROWN VALLEY PKWY STE 220",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926293310",
"telephone_number": "949-240-2280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETITA BAKER DENTAL PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-10",
"last_updated": "2019-05-10",
"status": "A",
"authorized_official_last_name": "BETITA",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "949-240-2280",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MD"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dana Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.