DR. DROSTAN GREGG BAKER (NPI# 1326131319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326131319 |
| Entity Type | Individual |
| Full Name | DR. DROSTAN GREGG BAKER |
| Credential | D.D.S. |
| Practice Address |
1900 John Adams Pkwy Idaho Falls ID 83401-4366 |
| Practice Telephone | 2085240644 |
| Practice Fax Number | 2085246100 |
| Mailing Telephone | 2085240644 |
| Mailing Fax Number | 2085246100 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D1823PD | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002596400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467689166 | Drostan Gregg Baker | Family Medicine | 2207 N Molter Rd Ste 203, Liberty Lake, WA 99019 | 2009-06-19 |
| Street Address |
1900 JOHN ADAMS PKWY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053496083 | Dwight Douglas Baker | Dentist | 1900 John Adams Pkwy, Idaho Falls, ID 83401-4366 | 2006-10-26 |
| 1407211725 | Baker Pediatric Dentistry, Pllc | Dentist | 1900 John Adams Pkwy, Idaho Falls, ID 83401 | 2015-12-31 |
| 1376969360 | Thomas Baker | Dentist | 1900 John Adams Pkwy, Idaho Falls, ID 83401-4366 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710186432 | Jordan Higham | Dentist | 929 S Utah Ave, Idaho Falls, ID 83402-3322 | 2007-07-12 |
| 1659412724 | Randall G. Smith | Dentist | 3365 S Holmes Ave, Idaho Falls, ID 83404-7981 | 2007-02-09 |
| 1700447596 | Idaho Falls Pediatric Dentistry, Pllc | Dentist | 3387 Merlin Dr, Idaho Falls, ID 83404-7405 | 2019-06-24 |
| 1376028324 | Clubhouse Pediatric Dentistry of Idaho Falls | Dentist | 3411 Merlin Dr, Idaho Falls, ID 83404-7430 | 2018-09-26 |
| 1831504125 | Kailey Anne Smith Housley | Dentist | 3387 Merlin Dr, Idaho Falls, ID 83404-7405 | 2014-06-25 |
| 1376969360 | Thomas Baker | Dentist | 1900 John Adams Pkwy, Idaho Falls, ID 83401-4366 | 2014-03-14 |
| 1437595881 | Jordan E. Higham Pa | Dentist | 929 S Utah Ave, Idaho Falls, ID 83402-3322 | 2013-05-13 |
| 1679747588 | Alligator Pediatric Dentistry,pllc | Dentist | 3365 S Holmes Ave, Idaho Falls, ID 83404-7981 | 2008-04-22 |
| 1851511372 | Mark Marlowe | Dentist | 3365 S Holmes Ave, Idaho Falls, ID 83404-7981 | 2007-04-26 |
| 1801944913 | John Memmott | Dentist | 2300 E 17th St, Idaho Falls, ID 83404-6504 | 2007-01-08 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on DR. DROSTAN GREGG BAKER.
| 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.