Jaclyn W. Bae, DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JACLYN W. BAE, DDS INC

Doing business as

Jaclyn W. Bae, DDS Inc dba Sunshine Pediatric Dentistry
Sunshine Pediatric Dentistry

Practice address

20527 Yorba Linda Blvd
Yorba Linda, CA 92886-7109

Phone

(714) 660-1890

NPI assigned

Apr 18, 2022

Last updated

Apr 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaclyn Bae, DDSNPI 1740559780

Title

Pediatric Dentist

Phone

(714) 660-1890

Specialties & licenses 1

Addresses

Other names 2

• Jaclyn W. Bae, DDS Inc dba Sunshine Pediatric Dentistry Doing business as
• Sunshine Pediatric Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaclyn Bae, DDS

  • Pediatric Dentistry
  • Yorba Linda, CA
  • NPI 1740559780
  NPD Authorized official
• Jennifer Rae Branch Rios, RDH

  • Dental Hygienist
  • Glendora, CA
  • NPI 1265386817
  NPD (past)

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1144963117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20527 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867109",
            "telephone_number": "714-660-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20527 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867109",
            "telephone_number": "714-660-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACLYN W. BAE, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "714-660-1890",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaclyn W. Bae, DDS Inc dba Sunshine Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunshine Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• J Bradford Fisher MD Inc (Body By Fisher)
• J L Rosenthal MD Inc
• Jack Kennis MD Inc
• Manera Jeszel Jackson, RN
• Michelle Christine Jackson, MSW, LCSW
• Lorraine Anne Jacob, SPEECH PATHOLOGIST
• Nicole Jahne, D.P.T.
• Hyder Jamal, MD
• William Glen Janeshak, D.C.
• Janet Pharmacy Enterprises Inc (Linda Vista Pharmacy LTC)

• Pediatric Dentistry in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.