Joshua Baek, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS103985 Issued in CA

Practice address

7604 Reseda Blvd
Reseda, CA 91335-2822

Phone

(818) 497-1222

NPI assigned

Jul 24, 2019

Last updated

Feb 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Joshua Baek D.D.S. Inc.

  • General Practice Dentistry
  • Reseda, CA
  • NPI 1578137873
  Medicare reassignment NPD Authorized official
• Baek D.D.S. Inc.

  • Public Health Dentistry
  • San Francisco, CA
  • NPI 1023879285
  NPD Authorized official
• Baek D.D.S. Inc.

  dba S.F. Children's Dental

  • Dentist
  • Redwood City, CA
  • NPI 1023983822
  NPD Authorized official

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1174176598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18410 SATICOY ST APT 10",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352822",
            "telephone_number": "818-497-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEK",
        "first_name": "JOSHUA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS103985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azad Azizyan
• Freddy Azurdia
• Babak a. Giladi, DPM, Inc.
• Babak Mirabadi Professional Chiropractic Corporation
• Babylon Adult Daycare Center Inc.
• Amaranda Baez
• Agnes Bahng, MD
• Hooria Bahram, O.D.
• Baird Group Home
• Shelley T Baker, PHARM.D.

• General Practice Dentistry in Reseda, CA
• Providers in Reseda, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.