Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104682301 Individual Practitioner Male Practitioner

Dr. Dakota Rex Baker , DDS

Dentist - General Practice • Kellogg, ID

Professional Overview & Biography Verified Profile Summary

Dr. Dakota Baker, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kellogg, ID. Practice services are available at 109 MCKINLEY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 Mckinley Ave

Kellogg, ID 838372501

Telephone 2088812575
Associated Practice Facility / Clinic
🏢 Backcountry Dental Docs, Llc Facility NPI 1235790510

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kellogg, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Kellogg, ID (781 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ID D-5623

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Hillary Berry , DMD

Dentist - General Practice

NPI 1396800033

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 26, 2025

Registered at 109 MCKINLEY AVE, KELLOGG, ID 838372501 (Tel: 2088812575)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2025

Dentist (License #D-5623 in ID)

📍
Updated Practice Location August 07, 2024

Registered at 485 E ALAMEDA RD, POCATELLO, ID 832013609 (Tel: 2089043966)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2024

Dentist (License #D-5623 in ID)

NPI Profile Active February 26, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2024

Registered at 116 W BULLION ST, HAILEY, ID 833338425 (Tel: 2084505813)

📍
Updated Business Mailing Address February 26, 2024

Registered at 715 CASTLEROCK LN, IDAHO FALLS, ID 834047997 (Tel: 2088812575)

👤
Provider Name / Credentials Updated February 26, 2024

Recorded as DAKOTA BAKER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 26, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104682301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2024
Last Update: September 26, 2025
Sole Proprietor: Yes

Mailing Address

715 Castlerock Ln

Idaho Falls, ID 834047997

Phone: 2088812575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.