Individual provider Active NPI

Baldwin Jin Hoo, DDS

  • Dentist
  • San Bruno, CA
National Provider Identifier
1699771915
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34714 Issued in CA
Practice address
1150 El Camino Real Ste 128
San Bruno, CA 94066-2422
Phone
(650) 873-8888
Fax
(650) 873-8787
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 34714 CA Primary

Addresses

Primary practice location

1150 El Camino Real Ste 128
San Bruno, CA 94066-2422

Mailing address

1150 El Camino Real Ste 128
San Bruno, CA 94066-2422
Phone (650) 873-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160708001336 CA Order and Referring Only - DentistPractitioner - Dentist 4981996105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chan and Hoo Dental Corp. Past Accepting new patients
Baldwin J. Hoo, D.D.S. a Professional Dental Corp. PastSince Jun 6, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699771915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 EL CAMINO REAL STE 128",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662422",
            "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 STE 128",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662422",
            "telephone_number": "650-873-8888",
            "fax_number": "650-873-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOO",
        "first_name": "BALDWIN",
        "middle_name": "JIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "34714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

Verify at the official NPI Registry.