Justin J. Baik, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

61136603 Issued in WA

Practice address

400 S Randall Rd Ste G
Elgin, IL 60123-4607

Phone

(224) 629-4125

Fax

(224) 601-8506

NPI assigned

May 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Elgin, IL
  • NPI 1295462802
  NPD Authorized official
• FPD Group, PLLC

  • Pediatric Dentistry
  • Elgin, IL
  • NPI 1578490579
  NPD Authorized official

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1417512104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S RANDALL RD STE G",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234607",
            "telephone_number": "847-372-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S RANDALL RD STE G",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234607",
            "telephone_number": "224-629-4125",
            "fax_number": "224-601-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIK",
        "first_name": "JUSTIN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "61136603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muheez Badmus
• Ghia Christie Flores Bael
• Matthew Louis Baer, MD, PHD
• Rachel P Baer, MD
• Rabia Baig
• Caroline J Bailey, LCSW
• Daniel Bailey
• Amber Bain, J.D.
• Teliane Suella Bakala-Mpandzou, DMD, MSD
• Gayatri Kolluru Baker, D.O.

• 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 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.