Ryan Baek Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037069 Issued in PA

Legal business name

RYAN BAEK DENTAL

Practice address

207 W Germantown Pike
East Norriton, PA 19401-1331

Phone

(610) 272-2235

NPI assigned

May 18, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Katie Aeri Baek

Title

Office Manager

Phone

(610) 272-2235

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Baek Dental Group

  • Dentist
  • Fort Washington, PA
  • NPI 1144619180
  NPPES parent name

Practitioners 1

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

• Ryan Joo Yeul Baek, DMD

  • General Practice Dentistry
  • East Norriton, PA
  • NPI 1710181896
  NPD (past)

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

{
    "created_epoch": "1368835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368835200000",
    "number": "1235575150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W GERMANTOWN PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W GERMANTOWN PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011331",
            "telephone_number": "610-272-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN BAEK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-18",
        "last_updated": "2013-05-18",
        "status": "A",
        "authorized_official_last_name": "BAEK",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "AERI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-272-2235",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Komal Romance, MD
• Ronni H. Rothman, CNM
• Edward William Ruane, DPM
• Russell Lauren & Co
• Norman F. Ruttenberg, DO
• Zaid Salman, DMD
• Joann Sansone, D.O.
• Meyrick Ross Khaw Sarmiento, M.D.
• Patricia Jean Sassaman, LMT
• Rahat Sayed, CRNP

• General Practice Dentistry in East Norriton, PA
• Providers in East Norriton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2013; 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.