DOUGLAS JAMES BALDWIN DDS
NPI 1376854596
Dentist - General Practice in Edinburg, TX

Q: What is Douglas Baldwin's NPI number?

The NPI number for Douglas Baldwin is 1376854596. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Q: What is Douglas Baldwin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Baldwin was last updated on June 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 23, 2010PECOS Enrolled

206 W MAHL ST, EDINBURG, TX 78539(956) 383-4400 Get Directions Write a Review

NPPES record last updated: June 23, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Douglas James Baldwin Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS JAMES BALDWIN DDS (NPI 1376854596) is an individual general practice provider in Edinburg, Texas, licensed in Texas (25467) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376854596

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDOUGLAS JAMES BALDWINCredential: DDS

Location Address206 W MAHL STEdinburg, TX 78539-4331

Mailing Address433 Vista Way DrSaginaw, TX 76179-1396 · (817) 946-1934

Phone(956) 383-4400

Sole ProprietorNo

Enumeration DateJune 23, 2010

✔ NPI 1376854596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 25467

Definition

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.

206 W MAHL ST, Edinburg, TX 78539

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas James Baldwin Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUL KI YI D.D.S.

Dentist (General Practice)

206 W MAHL ST
EDINBURG, TX 78539

Hidalgo County (956) 383-4400

SUL KI YI, DDS, P.A.

Dentist (General Practice)

206 W MAHL ST
EDINBURG, TX 78539

Hidalgo County (956) 383-4400

ADAME DENTAL SLEEP MEDICINE, PLLC

Dentist

206 W MAHL ST
EDINBURG, TX 78539

Hidalgo County (956) 867-1585

DR. ROHIT F UMMER D.D.S.

Dentist (General Practice)

206 W MAHL ST
EDINBURG, TX 78539

Hidalgo County (956) 383-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Baldwin's NPI number?

The NPI number for Douglas Baldwin is 1376854596. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Where is Douglas Baldwin located?

Douglas Baldwin practices at 206 W Mahl St, Edinburg, TX 78539. The listed phone number is (956) 383-4400.

What is Douglas Baldwin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Douglas Baldwin enrolled in Medicare?

Yes. Douglas Baldwin is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Baldwin accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental PPO and Guardian and 4 other insurers list Douglas Baldwin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Baldwin was last updated on June 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.