NPIMap

Organization Active NPI

Bae Dental Associates-Westminster LLC

Doing business as Family Dentistry of Westminster

  • General Practice Dentistry
  • Westminster, MD
National Provider Identifier
1346695616
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BAE DENTAL ASSOCIATES-WESTMINSTER LLC
Doing business as
Family Dentistry of Westminster
Practice address
532 Baltimore Blvd
412
Westminster, MD 21157-6117
Phone
(443) 603-9000
NPI assigned
Apr 25, 2016
Last updated
Nov 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Authorized official

Name
Jun Tae Bae, DDSNPI 1013952068
Title
Owner
Phone
(410) 876-1747

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X MD Primary

Addresses

Primary practice location

532 Baltimore Blvd
412
Westminster, MD 21157-6117

Mailing address

532 Baltimore Blvd
412
Westminster, MD 21157-6117

Other names 1

  • Family Dentistry of Westminster Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200728002901 MD DME Supplier - Oral Surgery - Dentist 5496179186 Practice locations: Westminster, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1346695616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 BALTIMORE BLVD",
            "address_2": "412",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 BALTIMORE BLVD",
            "address_2": "412",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576117",
            "telephone_number": "443-603-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAE DENTAL ASSOCIATES-WESTMINSTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "JUN",
        "authorized_official_middle_name": "TAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-876-1747",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry of Westminster",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Dentistry of Westminster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.