DR. MARK ENSIO BAKER D.D.S. NPI 1184798811

NPI Information

  • NPI: 1184798811
  • Provider Name: DR. MARK ENSIO BAKER, D.D.S.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 165 N 14TH AVE
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 232-2807

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NPI Details

DR. Mark Ensio Baker, D.D.S. is an oral and maxillofacial surgery dentist in Pocatello, ID. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Mark Ensio Baker, D.D.S. NPI is 1184798811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

165 N 14TH AVE
POCATELLO, ID
ZIP 83201-146
Phone: (208) 232-2807
Fax: (208) 232-8118

The NPI 1184798811 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryD3016IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U32580MEDICARE UPINIDAHO
21204023MEDICARE ID-TYPE UNSPECIFIEDIDAHO
3000010010306OTHERIDAHORAILROAD
460806OTHERIDAHOBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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