DR. BAXTER BOONE SAPP JR. (NPI# 1184829228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184829228 |
| Entity Type | Individual |
| Full Name | DR. BAXTER BOONE SAPP JR. |
| Practice Address |
3612 Shannon Rd Suite 205 Durham NC 27707-6329 |
| Practice Telephone | 9194899171 |
| Practice Fax Number | 9194931088 |
| Mailing Telephone | 9194899171 |
| Mailing Fax Number | 9194931088 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2106 | NC | Dental Providers |
| Street Address |
3612 SHANNON RD SUITE 205 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-6329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295706133 | Southwest Durham Family Medicine, Pllc | Internal Medicine | 3612 Shannon Rd, Suite 105, Durham, NC 27707-6329 | 2006-01-30 |
| 1083918841 | Katherine Mcdaniel Kulenic | Nurse Practitioner | 3612 Shannon Rd, Suite # 105, Durham, NC 27707-6329 | 2011-01-07 |
| 1548466204 | Tiffany Marum | Family Medicine | 3612 Shannon Rd, Suite 105, Durham, NC 27707-6329 | 2007-06-21 |
| 1811099476 | Hal Thomas Macon Sapp | Dentist | 3612 Shannon Rd, Suite 205, Durham, NC 27707-6329 | 2006-09-03 |
| 1376569624 | Baxter B. Sapp, Jr, Dds & Ht Macon Sapp, Dds, Pa | Dentist | 3612 Shannon Rd, Suite 205, Durham, NC 27707-6329 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220356 | Anne Kathryn Dorsey | Dentist | 1922 Bivins St, Durham, NC 27707-1402 | 2020-06-22 |
| 1164048625 | Aman Masoomi | Dentist | 1205 Pondfield Way, Durham, NC 27713-7609 | 2020-06-21 |
| 1801417878 | Logan Alexander Eaker | Dentist | 7 Coach Ter, Durham, NC 27713-6094 | 2020-04-30 |
| 1649820093 | Oyegunwa and Associates II, Pllc | Dentist | 3219 Watkins Rd Ste 103, Durham, NC 27707-3331 | 2019-09-18 |
| 1568956084 | Laurent Pilon | Dentist | 2741 Campus Walk Ave Bldg 300, Durham, NC 27705-8878 | 2018-06-18 |
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1083113948 | Deepika Verma Dmd Pllc | Dentist | 2003 E Nc Highway 54 Ste A, Durham, NC 27713-2483 | 2018-02-06 |
| 1447765094 | Alterman Dhillon and Associates | Dentist | 202 W Nc Hwy 54, Suite 201, Durham, NC 27713 | 2017-12-05 |
| 1295196418 | Dr Li Qian Dds Pllc | Dentist | 6104 Fayetteville Rd Ste 106, Durham, NC 27713-6283 | 2016-03-15 |
| 1841688033 | Jonathan Joseph Puza | Dentist | 3608 University Dr Ste 104, Durham, NC 27707-6260 | 2014-12-23 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.