David Jaywoo Bai, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE61195738 Issued in WA

Practice address

10700 SE 174TH St Ste 104
Renton, WA 98055-5472

Phone

(425) 226-5940

NPI assigned

Sep 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1063180131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MAIN AVE S APT 602",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575002",
            "telephone_number": "425-943-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SE 174TH ST STE 104",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555472",
            "telephone_number": "425-226-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAI",
        "first_name": "DAVID",
        "middle_name": "JAYWOO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-02-28",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61195738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jun Hee Baek, MD
• Bagby Chiropractic PLLC
• Clussie Bagby
• Genise Rachelle Bagby, MA, LMHC, SUDP, DVIT
• Arjun Bahl, MD
• Chad Michael Bailey, MD
• Elizabeth Frances Bailey, LMHC
• Michele R Bailey, N.N.P.
• Hannah Marie Bain, RD, CD
• Megan Judith Brennan Bainbridge

• Dentist in Renton, WA
• Providers in Renton, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.