Baker-Wettstein Enterprises L.L.C.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

5899 Issued in AZ

Legal business name

BAKER-WETTSTEIN ENTERPRISES L.L.C.

Doing business as

Impressions Dental

Practice address

5970 S Cooper Rd
Suite1
Chandler, AZ 85249-5393

Phone

(480) 814-8888

Fax

(480) 814-1553

NPI assigned

May 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brigham Baker, DDS

Title

Dentsit

Phone

(480) 814-8888

Specialties & licenses 1

Addresses

Other names 1

• Impressions Dental Doing business as

Tax ID family

Baker Wettstein Enterprises LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Baker Wettstein Enterprises LLC

  • Dentist
  • Chandler, AZ
  • NPI 1720472434
  NPD tax ID

Locations

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1962729806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 S COOPER RD",
            "address_2": "SUITE1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495393",
            "telephone_number": "480-814-8888",
            "fax_number": "480-814-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 S COOPER RD",
            "address_2": "SUITE1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495393",
            "telephone_number": "480-814-8888",
            "fax_number": "480-814-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER-WETTSTEIN ENTERPRISES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRIGHAM",
        "authorized_official_title_or_position": "DENTSIT",
        "authorized_official_telephone_number": "480-814-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "5899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impressions Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cameryn Bailey
• Caroline Bailey, PT, DPT
• James W Baird, MD
• Jagandeep Singh Bajwa, D.M.D.
• Baker Wettstein Enterprises LLC
• Brigham D Baker, DDS
• Nancy Baker, PT DPT
• Stephanie Allison Baker, DNP, APRNCNPPMHNP-BC
• Timothy P Baker, MD
• Prakash Balan, M.D.

• Preferred Provider Organization in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Preferred Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.