NPIMap

Organization Active NPI

Peter H. Bae DDS. Dental Corporation

  • General Practice Dentistry
  • Inglewood, CA
National Provider Identifier
1326210774
Registry record updated Jun 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50034 Issued in CA
Legal business name
PETER H. BAE DDS. DENTAL CORPORATION
Practice address
3530 W Century Blvd Ste 107
Inglewood, CA 90303-1234
Phone
(323) 677-8000
Fax
(310) 677-8009
NPI assigned
Mar 26, 2008
Organization subpart
Yes
Parent organization
PETER H. BAE DDS DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2008

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

Authorized official

Name
Dr. Peter Hyun BaeNPI 1982772240
Title
Owner
Phone
(310) 677-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 50034 CA Primary

Addresses

Primary practice location

3530 W Century Blvd Ste 107
Inglewood, CA 90303-1234

Mailing address

3530 W Century Blvd Ste 107
Inglewood, CA 90303-1234
Phone (323) 677-8000

National Provider Directory

National Provider Directory
Tax ID family
Peter H Bae DDS Dental Corporation4 organizations share this tax ID, including this one
Part of
Peter H Bae DDS Dental Corporation

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3530 W Century Blvd
Ste 107
Inglewood, CA 90303
Phone (310) 677-8000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213401600000",
    "number": "1326210774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 W CENTURY BLVD STE 107",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903031234",
            "telephone_number": "323-677-8000",
            "fax_number": "310-677-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 W CENTURY BLVD STE 107",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903031234",
            "telephone_number": "323-677-8000",
            "fax_number": "310-677-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER H. BAE DDS. DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PETER H. BAE DDS DENTAL CORPORATION",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-06-14",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-677-8000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2008; 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.