SUSAN MICHELLE BAKER, DDS — NPI 1003817271 (Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) in IVINS, UT)

CMS-1500 Box 24J / 33a • NPI

1003817271

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1223D0001X

Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)

Box 32 Service Location & ZIP+4

1215 E SNOW CANYON PKWY UNIT 402, IVINS, UT, 84738-6818

✓ 9-Digit EDI 837 ZIP+4 (84738-6818)

Practice Phone & Referral Fax

(435) 341-0028

Fax: (435) 703-9960

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1003817271 (SUSAN MICHELLE BAKER, DDS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1003817271` (NPI-1 Individual Practitioner)
Provider / Legal Name	SUSAN MICHELLE BAKER, DDS
Plain-English Specialty	Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: `1223D0001X` (Dentist, Dental Public Health)
Certifying / Licensing Body	American Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address	1215 E SNOW CANYON PKWY UNIT 402, IVINS, UT, 84738-6818
Practice Telephone / Fax	Tel: (435) 341-0028 \| Fax: (435) 703-9960
Administrative Mailing Address	1215 E SNOW CANYON PKWY UNIT 402, IVINS, UT, 84738-6818
Enumeration & Last Sync	Enumerated: 2005-08-09 \| CMS Record Updated: 2023-03-22

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1215 E SNOW CANYON PKWY UNIT 402, IVINS, UT, 84738-6818

🗺️ Open in Google Maps 🏥 More Providers in IVINS

🔒 Are you SUSAN MICHELLE BAKER, DDS? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (1223D0001X)

What Does Taxonomy Code 1223D0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223D0001X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SUSAN MICHELLE BAKER, DDS)

Typical CPT / Diagnostic Procedures:

Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions

Common Therapeutic Classes:

Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`122300000X` — Dentist Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: MD \| License: `9648` \| Primary: Secondary
`1223D0001X` — Dentist, Dental Public Health Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: UT \| License: `6413406-9922` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

SUSAN MICHELLE BAKER, DDS (NPI #1003817271)