Doosu Baik, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60772970 Issued in WA

Practice address

1426 Fowler St
Richland, WA 99352

Phone

(855) 433-6825

NPI assigned

Oct 13, 2017

Sex

Male

Sole proprietor

No

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 WA

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

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.

• Baik and Song PLLC

  • Dental Clinic/Center
  • Monroe, WA
  • NPI 1982542726
  NPD Authorized official
• Doosu Baik PLLC

  • Dental Clinic/Center
  • Lynnwood, WA
  • NPI 1992643811
  NPD Authorized official
• Willamette Dental Group, P.C.

  • Dentist
  • Richland, WA
  • NPI 1417872870
  NPD (past)

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1669983961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 NE CAMPUS WAY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245611",
            "telephone_number": "855-433-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 FOWLER ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "855-433-6825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10510 Gravelly Lake Dr SW",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984995036",
            "country_code": "US",
            "telephone_number": "253-589-7188",
            "fax_number": "253-722-1546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10510 Gravelly Lake Dr SW",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984995036",
            "country_code": "US",
            "telephone_number": "253-589-7188",
            "fax_number": "253-722-1546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIK",
        "first_name": "DOOSU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-13",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60772970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Badger Mountain Family Medicine PC
• Jae Won Bae
• Janak T. Bahirwani, MD
• Daniel E Bahnmiller, D.O.
• Kanpapha Baide, PT
• Christina Jean Bailey
• Lisa Lorene Baird, ARNP
• James Foley Baldwin, LICSW
• Rebecca Ann Baldwin, RN
• Timothy Earl Baldwin, MD

• General Practice Dentistry in Richland, WA
• Providers in Richland, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.