Individual provider Active NPI

Joseph Sayed Baha, DDS

  • Dentist
  • Glendale, CA
National Provider Identifier
1669626511
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62932 Issued in CA
Practice address
1220 W Glenoaks Blvd
Suite 203
Glendale, CA 91201-2231
Phone
(518) 227-2703
NPI assigned
Nov 5, 2008
Last updated
Mar 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62932 CA
Dentist 122300000X 62932 CA Primary
Dentist 122300000X 054219-1 NY

Addresses

Primary practice location

1220 W Glenoaks Blvd
Suite 203
Glendale, CA 91201-2231

Mailing address

26756 Baronet
Mission Viejo, CA 92692-4174
Phone (518) 227-2703

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

LicenseStateTypeSpecialty
054219-1NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1669626511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26756 BARONET",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926924174",
            "telephone_number": "518-227-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W GLENOAKS BLVD",
            "address_2": "SUITE 203",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012231",
            "telephone_number": "518-227-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHA",
        "first_name": "JOSEPH",
        "middle_name": "SAYED",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62932",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62932",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054219-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.