RYAN B BAKER DMD A PROFESSIONAL DENTAL CORPORATION (NPI# 1548891427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548891427 |
| Entity Type | Organization |
| Organization Name | RYAN B BAKER DMD A PROFESSIONAL DENTAL CORPORATION |
| Practice Address |
27180 Newport Rd Ste 3 Menifee CA 92584-7389 |
| Mailing Address |
14591 Newport Ave Ste 108 Tustin CA 92780-6026 |
| Practice Telephone | 9516721666 |
| Practice Fax Number | 8558953627 |
| Mailing Telephone | 9497717381 |
| Mailing Fax Number | 8558953627 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | RYAN B BAKER (OWNDER) |
| Authorized Official Telephone | 8584058434 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTAL LICENSE | 64066 | 01 |
| CA | NPI | 1922465053 | 01 |
| Other Name | Type Code |
|---|---|
| BAKER PEDIATRIC DENTAL CARE | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14591 Newport Ave Ste 108, Tustin, CA 927806026 | 9497717381 | 8558953627 |
| Street Address |
27180 NEWPORT RD STE 3 |
| City | MENIFEE |
| State | CA |
| Zip Code | 92584-7389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922465053 | Ryan Baker | Dentist | 27180 Newport Rd Ste 3, Menifee, CA 92584-7389 | 2016-01-20 |
| 1952932055 | Ryan B Baker Dmd Apdc | Dentist | 27180 Newport Rd Ste 3, Menifee, CA 92584-7389 | 2020-01-28 |
| 1598268849 | Baker Pediatric Dental Care | Dentist | 27180 Newport Rd Ste 3, Menifee, CA 92584-7389 | 2018-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091249 | Christopher Aron Sanders | Family Medicine | 30243 Westlake Dr, Menifee, CA 92584 | 2019-12-27 |
| 1336619451 | Tricia Rose Fontanilla Alegado | Nurse Practitioner | 29740 Mesa Verde Cir, Menifee, CA 92584 | 2018-12-01 |
| 1548776446 | Nicole O'neil | Nurse Practitioner | 29826 Haun Rd Suite 300, Menifee, CA 92584 | 2017-12-14 |
| 1518485150 | Harvinder Singh | Driver | 31972 Ruxton St, Menifee, CA 92584 | 2017-09-04 |
| 1558884239 | Poulsen Dental Corporation | Dentist | 29121 Newport Road, Ste 1, Menifee, CA 92584 | 2017-07-25 |
| 1598200040 | Thay Kieu | Dental Hygienist | 30035 Haun Rd, Menifee, CA 92584 | 2016-12-19 |
| 1033668652 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 28995 Newport Road, Menifee, CA 92584 | 2016-09-23 |
| 1295187474 | Cohen Sedgh, Manavi & Pakravan Dental Corp | Dentist | 30035 Haun Road, Menifee, CA 92584 | 2016-07-12 |
| 1871965640 | Sharon D. Benjamin | Licensed Vocational Nurse | 29120 Bridgeport Lane, Menifee, CA 92584 | 2015-10-20 |
| 1538573175 | Edwin Haroldo Alvarez | Physician Assistant | 31216 Silver Moon Court, Menifee, CA 92584 | 2014-06-11 |
| Find all providers in zip 92584 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760988877 | Marcelo Romero-shu, Dds Inc. | Clinic/Center | 27180 Newport Rd Ste 1, Menifee, CA 92584-7389 | 2018-04-05 |
| 1609392190 | Tien Tran Dmd Inc. | Clinic/Center | 28401 Bradley Rd Ste B, Menifee, CA 92586-3040 | 2017-08-17 |
| 1134644149 | Tibbitts Menifee Dental Group | Clinic/Center | 27701 Scott Rd Ste 107, Menifee, CA 92584-9434 | 2017-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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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.