✓ Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) (1223S0112X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

WILLIAM R BAKER, d.m.d (NPI #1023098993)

Dentist, Oral and Maxillofacial Surgery • BRAINERD, MN • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1023098993
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1223S0112X (CMS 19)
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
1903 S 6TH ST, BRAINERD, MN, 56401-4599
✓ 9-Digit EDI 837 ZIP+4 (56401-4599)
Practice Phone & Referral Fax
Fax: (218) 829-1729
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1023098993 (WILLIAM R BAKER, d.m.d) 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 Number1023098993 (NPI-1 Individual Practitioner)
Provider / Legal NameWILLIAM R BAKER, d.m.d
Plain-English SpecialtyLicensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
NUCC Code: 1223S0112X (Dentist, Oral and Maxillofacial Surgery)
Certifying / Licensing BodyAmerican Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address1903 S 6TH ST, BRAINERD, MN, 56401-4599
Practice Telephone / FaxTel: (218) 829-1728 | Fax: (218) 829-1729
Administrative Mailing Address1903 S 6TH ST, BRAINERD, MN, 56401-4599
Enumeration & Last SyncEnumerated: 2006-01-18 | CMS Record Updated: 2011-01-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1903 S 6TH ST, BRAINERD, MN, 56401-4599

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Plain-English Taxonomy & CMS Crosswalk (1223S0112X)

What Does Taxonomy Code 1223S0112X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223S0112X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 19 (Oral Surgery (Dentist only))
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 (WILLIAM R BAKER, d.m.d)

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 DescriptionState License & Primary Status
1223S0112X — Dentist, Oral and Maxillofacial Surgery
Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
State: MN | License: D10467 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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