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Export Provider Record NPI 1366450587
Brooke Marie BakerD.D.S.
Active
NPI Number1366450587
NPI TypeNPI-1 Individual
SpecialtyDentist, General Practice
Provider Details
NPI1366450587
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-08-03
Last Updated2015-10-05
Mailing Address10212 Ida Oaks Rd
Pelican Rapids, MN 56572-9317
United States
Phone: (218) 532-2697
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Primary Practice Address1790 32nd Ave S
Fargo, ND 58103-5942
United States
Phone: (701) 232-0774 | Fax: (701) 232-1158
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223G0001X – Dentist, General PracticeND1988
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About NPI 1366450587

Brooke Marie Baker D.D.S. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1366450587. The primary specialty listed is Dentist, General Practice. The provider is located in Fargo, ND. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1366450587?

NPI 1366450587 belongs to Brooke Marie Baker D.D.S., a Dentist, General Practice in Fargo, ND. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1366450587 active?

The current status of NPI 1366450587 in the NPPES registry is Active. The record was last updated on 2015-10-05.

What specialty is NPI 1366450587?

NPI 1366450587 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1366450587?

You can verify NPI 1366450587 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1366450587?

The primary practice address on file for NPI 1366450587 is 1790 32nd Ave S, Fargo, ND 58103-5942. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1366450587 issued?

NPI 1366450587 was first issued (enumerated) on 2006-08-03. The NPPES record was last updated on 2015-10-05.

Practice Location Map

Brooke Marie Baker is located at 1790 32nd Ave S, Fargo, ND. Use the map below to find directions or verify the practice location.

📍 1790 32nd Ave S, Fargo, ND 58103-5942  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Brooke Marie Baker. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1366450587. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist, General Practice1988ND
Data Verified from CMS NPPES Last synced: 2026-08-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162