NPIMap

Organization Active NPI

Lee, Wee &Baek. DDS. Inc

  • Dental Clinic/Center
  • Joshua Tree, CA
National Provider Identifier
1699940486
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54709 Issued in CA
Legal business name
LEE, WEE &BAEK. DDS. INC
Practice address
61325 29Palms Hwy.Ste.a
Joshua Tree, CA 92252
Phone
(760) 366-0420
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LEE, WEE &BAEK.DDS.INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Jin Nam BaekNPI 1467585448
Title
Secretary
Phone
(951) 756-0069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 54709 CA Primary

Addresses

Primary practice location

61325 29Palms Hwy.Ste.a
Joshua Tree, CA 92252

Mailing address

33277 Redbird Dr
Yucaipa, CA 92399-6976

National Provider Directory

National Provider Directory
Tax ID family
Lee Wee Baekddsinc2 organizations share this tax ID, including this one
Part of
Lee Wee Baekddsinc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

61325 29 Palms Hwy
Joshua Tree, CA 92252
Phone (760) 366-0420

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1699940486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33277 REDBIRD DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923996976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61325 29PALMS HWY.STE.A",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "92252",
            "telephone_number": "760-366-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE, WEE &BAEK. DDS. INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEE, WEE &BAEK.DDS.INC",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "BAEK",
        "authorized_official_first_name": "JIN NAM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "951-756-0069"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joshua Tree, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.