Julia J Baek

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

S6-175 Issued in NV

Practice address

5680 W Flamingo Rd
A
Las Vegas, NV 89103-0169

Phone

(702) 876-3222

Fax

(702) 876-4422

NPI assigned

Jul 17, 2014

Last updated

Feb 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1528475894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 W FLAMINGO RD",
            "address_2": "STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030169",
            "telephone_number": "702-876-3222",
            "fax_number": "702-876-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 W FLAMINGO RD",
            "address_2": "A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030169",
            "telephone_number": "702-876-3222",
            "fax_number": "702-876-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEK",
        "first_name": "JULIA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6529",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pejman Bady, DO
• Sep Bady, M.D.
• Allen Kyungjin Bae, DMD
• Jean Baek
• Jean Lee Baek
• Rachel Baek, D.M.D.
• Maria Del Rosario Baena
• Eyde M Baer
• Hannah Baer, MA COUNSELING
• Tori May Baer

• Pediatric Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.