NPI age
10 years
Enumerated 2015-12-31
● Active Type 2 · Organization
Baker Pediatric Dentistry, Pllc
Baker Pediatric Dentistry, Pllc is 1 of 114 dentist organizations in Idaho.
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Baker
Owner
Last NPPES update
2020-06-18
Source: monthly bulk 2026-05
How this organization compares
Across 114 active dentist providers in Idaho.
NPI age
10 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-12Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
1900 John Adams Pkwy
Idaho Falls, ID 83401
Mailing address
1900 John Adams Pkwy
Idaho Falls, ID 83401
Authorized official
Thomas Cecil Baker, D.M.D
Owner
📞 2085240644
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Dwight Baker, D.D.S., M.S. Dentist NPI 1053496083
- Thomas Baker, D.M.D Dentist NPI 1376969360
Specialties
-
Dentist PrimaryAn 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.
-
DentistA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 28510 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Baker Pediatric Dentistry
-
Baker Pediatric Dentistry
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.