Baek D.D.S. Inc.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

BAEK D.D.S. INC.

Practice address

2460 Mission St Ste 204
San Francisco, CA 94110-2477

Phone

(818) 497-1222

NPI assigned

Jan 16, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joshua Baek, DDSNPI 1174176598

Title

Ceo

Phone

(818) 497-1222

Specialties & licenses 1

Addresses

Tax ID family

Baek DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Baek D.D.S. Inc.

  • Dentist
  • Redwood City, CA
  • NPI 1023983822
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Baek, DDS

  • General Practice Dentistry
  • Reseda, CA
  • NPI 1174176598
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1023879285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352822",
            "telephone_number": "818-497-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 MISSION ST STE 204",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102477",
            "telephone_number": "818-497-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAEK D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "BAEK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-497-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo Badra
• Reva Birnbaum Badri, MS, RD
• Cansu Ezgi Badstubner
• Sungjoo Stephanie Bae, MS
• Frederick L. Baehner, MD
• Susan Ellen Baelen, LM, CPM
• Martha Lynn Baer, RN
• Amy Jean Baertson, R.D
• Roda Rose Manalili Baes, RPH
• Emely Baez

• Public Health Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.