Organization Active NPI

Betita Baker Dental Partnership

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Dana Point, CA
National Provider Identifier
1962068478
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
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

Updated by the provider on May 10, 2019

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)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2242355Betita Baker Dental Partnership32241 Crown Valley Pkwy #220, Dana Point, CA 92629Certificate of waiverNov 7, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.