NPIMap

Organization Active NPI

Peter H. Bae DDS Dental Corporation

  • General Practice Dentistry
  • Covina, CA
National Provider Identifier
1740495290
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50034 Issued in CA
Legal business name
PETER H. BAE DDS DENTAL CORPORATION
Practice address
556 W Badillo St
Covina, CA 91722-3762
Phone
(626) 332-4063
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Peter Hyun Bae
Title
Owner
Phone
(310) 677-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 50034 CA Primary

Addresses

Primary practice location

556 W Badillo St
Covina, CA 91722-3762

Mailing address

556 W Badillo St
Covina, CA 91722-3762
Phone (310) 677-8000

National Provider Directory

National Provider Directory
Tax ID family
Peter H Bae DDS Dental Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

556 W Badillo St
Covina, CA 91722
Phone (626) 332-4063

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1740495290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223762",
            "telephone_number": "310-677-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223762",
            "telephone_number": "626-332-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER H. BAE DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-677-8000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.