Fox Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

FOX PEDIATRIC DENTISTRY PLLC

Practice address

400 South Randall Road
Suite F and G
Elgin, IL 60123

Phone

(847) 372-5818

NPI assigned

Aug 3, 2022

Last updated

Aug 3, 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

Dr. Justin J Baik, DMDNPI 1417512104

Title

Owner Dentist

Phone

(847) 372-5818

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Justin J. Baik, DMD

  • Pediatric Dentistry
  • Elgin, IL
  • NPI 1417512104
  NPD Authorized official

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1295462802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 W BELMONT AVE APT 416",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574561",
            "telephone_number": "847-372-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTH RANDALL ROAD",
            "address_2": "SUITE F AND G",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "847-372-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "BAIK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "847-372-5818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Foshager, LPC
• Danille D. Fossie
• Bethany Foster
• Regina Foster, NP
• Yvette G Fowler-Utanes, OTR/L, MHA
• Fox Valley Anesthesia Associates, SC
• Fox Valley Chiropractic Clinic, LTD
• Fox Valley Comprehensive Womens Healthcare PC
• Fox Valley Dental Group
• Fox Valley Hematology, Inc

• Pediatric Dentistry in Elgin, IL
• Providers in Elgin, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.