Individual provider Active NPI

Robert Mark Baird, D.M.D

  • Dentist
  • Payson, UT
National Provider Identifier
1962682583
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6466262-9922 Issued in UT
Practice address
1392 Turf Farm Way
Suite #1
Payson, UT 84651-6500
Phone
(801) 465-4490
Fax
(801) 465-4217
NPI assigned
Nov 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6466262-9922 UT Primary

Addresses

Primary practice location

1392 Turf Farm Way
Suite #1
Payson, UT 84651-6500

Mailing address

1392 Turf Farm Way
Suite #1
Payson, UT 84651-6500
Phone (801) 465-4490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160804001886 UT Order and Referring Only - DentistPractitioner - Dentist 5799079323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6466262-9922UTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Family Dental Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1962682583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1392 TURF FARM WAY",
            "address_2": "SUITE #1",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846516500",
            "telephone_number": "801-465-4490",
            "fax_number": "801-465-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1392 TURF FARM WAY",
            "address_2": "SUITE #1",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846516500",
            "telephone_number": "801-465-4490",
            "fax_number": "801-465-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "ROBERT",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "6466262-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, UT

Sources for this page

Verify at the official NPI Registry.