Individual provider Active NPI

Alexander Bae, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1083117337
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
062289 Issued in NY
Practice address
123 Chambers St FRNT 1
New York, NY 10007-1080
Phone
(212) 257-1234
NPI assigned
Mar 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 062289 NY Primary

Addresses

Primary practice location

123 Chambers St FRNT 1
New York, NY 10007-1080

Mailing address

123 Chambers St FRNT 1
New York, NY 10007-1080
Phone (212) 254-1234

Other practice location 1

380 Union Ave
Brooklyn, NY 11211-3429
Phone (718) 736-2149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Bae DDS PC General Practice CurrentSince Mar 11, 2025 Accepting new patients
Windsor Dental Care, LLC General Practice Past Accepting new patients

Locations

123 Chambers St
Frnt 1
New York, NY 10007
Phone (212) 257-1234

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1083117337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CHAMBERS ST FRNT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071080",
            "telephone_number": "212-254-1234",
            "fax_number": "212-257-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CHAMBERS ST FRNT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071080",
            "telephone_number": "212-257-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112113429",
            "country_code": "US",
            "telephone_number": "718-736-2149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAE",
        "first_name": "ALEXANDER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.