Jinnam Baek Dental Practice Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JINNAM BAEK DENTAL PRACTICE INC

Practice address

13120 Palm Dr
Desert Hot Springs, CA 92240-5902

Phone

(951) 550-1545

NPI assigned

Jun 11, 2021

Last updated

Jul 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jin Nam Baek

Title

President

Phone

(951) 279-2021

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1710555289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13120 PALM DR",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922405902",
            "telephone_number": "951-550-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13120 PALM DR",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922405902",
            "telephone_number": "951-550-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JINNAM BAEK DENTAL PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "BAEK",
        "authorized_official_first_name": "JIN NAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-279-2021"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edith Jaimes
• Bruce David Janzen
• Cassandra Patricia Jenikovsky
• Linda C Jessie
• Alina Jimenez
• Joan Hangarter (Desert Hot Springs Chiropractic)
• Harriet Johnson
• Noel Johnson
• Tamyjah Jordan
• Jra Transportations LLC

• General Practice Dentistry in Desert Hot Springs, CA
• Providers in Desert Hot Springs, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.