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BAKER PEDIATRIC DENTISTRY
NPI 1407211725
Dentist - Pediatric Dentistry in Idaho Falls, ID

Active since December 31, 2015
1900 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401(208) 524-0644(208) 524-6100 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2020, Dec 31, 2015 (2 updates tracked since 2015).

About Baker Pediatric Dentistry NPPES

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

BAKER PEDIATRIC DENTISTRY (NPI 1407211725) is a healthcare organization registered as a pediatric dentistry in Idaho Falls, Idaho and active in the NPI registry since December 2015. The organization lists Thomas Cecil Baker, Owner, as its authorized official.

NPPES Registry Identity

NPI1407211725
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBAKER PEDIATRIC DENTISTRY, PLLC
Location Address1900 JOHN ADAMS PKWYIdaho Falls, ID 83401
Mailing Address1900 John Adams PkwyIdaho Falls, ID 83401 · (208) 524-0644 · Fax (208) 524-6100
Phone(208) 524-0644
Fax(208) 524-6100
Organization SubpartNo
Authorized OfficialThomas Cecil BakerOwner · (208) 524-0644
Enumeration DateDecember 31, 2015
Last NPPES UpdateJune 18, 20202 updates tracked since enumeration
NPPES CertifiedJune 18, 2020
✔ NPI 1407211725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

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.

Also ListedDentistTaxonomy 122300000X
1900 JOHN ADAMS PKWY, Idaho Falls, ID 83401
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Other Names 1

Doing Business AsBaker Pediatric Dentistry

Other Identifiers 1

Medicaid28510ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. DWIGHT DOUGLAS BAKER D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
1900 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Bonneville County (208) 524-0644
DR. THOMAS BAKER D.M.D
Dentist (Pediatric Dentistry)
1900 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Bonneville County (208) 524-0644

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 Baker Pediatric Dentistry, PLLC's NPI number?

The NPI number for Baker Pediatric Dentistry, PLLC is 1407211725. It was assigned to this organization in the NPPES registry on December 31, 2015. The provider is doing business as Baker Pediatric Dentistry.

Where is Baker Pediatric Dentistry, PLLC located?

Baker Pediatric Dentistry, PLLC is located at 1900 John Adams Pkwy, Idaho Falls, ID 83401. The listed phone number is (208) 524-0644.

What is Baker Pediatric Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Baker Pediatric Dentistry, PLLC accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Baker Pediatric Dentistry, PLLC 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 Baker Pediatric Dentistry, PLLC was last updated on June 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.