Jennifer Baezpolan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS111641 Issued in CA

Practice address

1800 Santa Carolina Rd
Chula Vista, CA 91913-3777

Phone

(517) 920-1569

NPI assigned

Sep 25, 2021

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Sep 25, 2025.

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1699446989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SANTA CAROLINA RD APT 19309",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SANTA CAROLINA RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133777",
            "telephone_number": "517-920-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZPOLAN",
        "first_name": "JENNIFER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901602354",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS111641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Baclig, LCSW88718
• Colin Bacorn, MD
• Yasmeen Badami
• Danielle Bader
• Bonnie Michelle Badii, DDS
• Jeff R Bagamaspad, RN
• Karen Itzayana Bahena, CARE MANAGER
• Joseph Edward Bailey, PT
• Sarah Bailey
• Corina Bair

• All providers in Chula Vista, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.