NPIMap

Organization Active NPI

Baldwin J. Hoo, D.D.S. a Professional Dental Corp.

  • General Practice Dentistry
  • San Bruno, CA
National Provider Identifier
1528109204
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34714 Issued in CA
Legal business name
BALDWIN J. HOO, D.D.S. A PROFESSIONAL DENTAL CORP.
Practice address
1150 El Camino Real
Suite 128
San Bruno, CA 94066
Phone
(650) 873-8888
Fax
(650) 873-8787
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Dr. Baldwin Jin Hoo, D.D.S.NPI 1699771915
Title
Owner
Phone
(650) 873-8888

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 34714 CA Primary

Addresses

Primary practice location

1150 El Camino Real
Suite 128
San Bruno, CA 94066

Mailing address

1150 El Camino Real
Suite 128
San Bruno, CA 94066
Phone (650) 873-8888

Other names 1

  • LAUREL HEIGHTS DENTAL CARE Former legal business name

National Provider Directory

National Provider Directory

Locations

3927 Sacramento St
San Francisco, CA 94118

Practitioners & affiliated clinicians

Practitioners 3

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1528109204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 EL CAMINO REAL",
            "address_2": "SUITE 128",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-873-8888",
            "fax_number": "650-873-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 EL CAMINO REAL",
            "address_2": "SUITE 128",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-873-8888",
            "fax_number": "650-873-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN J. HOO, D.D.S. A PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "HOO",
        "authorized_official_first_name": "BALDWIN",
        "authorized_official_middle_name": "JIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-873-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAUREL HEIGHTS DENTAL CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LAUREL HEIGHTS DENTAL CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Bruno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.