Active NPI
Helwuk Bae, DDS
- General Practice Dentistry
- Carrollton, TX
National Provider Identifier
1356400832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22182
- Practice address
- 2625 Old Denton Rd
Suite 416
Carrollton, TX 75007-5125 - Phone
- (972) 242-0800
- Fax
- (972) 242-5588
- NPI assigned
- Dec 8, 2006
- Last updated
- Dec 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22182 | TX | Primary |
Addresses
Primary practice location
2625 Old Denton Rd
Suite 416
Carrollton, TX 75007-5125
Mailing address
2625 Old Denton Rd
Suite 416
Carrollton, TX 75007-5125
Phone (972) 242-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22182 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bae's Dental PA | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1356400832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 OLD DENTON RD",
"address_2": "SUITE 416",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750075125",
"telephone_number": "972-242-0800",
"fax_number": "972-242-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 OLD DENTON RD",
"address_2": "SUITE 416",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750075125",
"telephone_number": "972-242-0800",
"fax_number": "972-242-5588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAE",
"first_name": "HELWUK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.