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
- 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Carrollton, TX
- NPI 1205356805
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.