Jaclyn Bae, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

59290 Issued in CA

Practice address

20527 Yorba Linda Blvd
Yorba Linda, CA 92886-7109

Phone

(646) 831-1346

NPI assigned

Dec 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jaclyn Hui Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jaclyn W. Bae, DDS Inc

  dba Jaclyn W. Bae, DDS Inc dba Sunshine Pediatric Dentistry

  • Pediatric Dentistry
  • Yorba Linda, CA
  • NPI 1144963117
  NPD Authorized official

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1740559780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18652 CLUBHOUSE DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867057",
            "telephone_number": "646-831-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20527 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867109",
            "telephone_number": "646-831-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "JACLYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "59290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "HUI",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Auralcare Hearing Centers of America, LLC (My Hearing Centers)
• Mindy Bree Avery, DPT
• Amanda Lynn Avey, PHARMD
• Azza Ayad, MD
• Anthony Bae, M.D.
• Charles Bagwell, D.P.T.
• John Michael Bair, D.C.
• Kevin George Bakar, D.D.S.
• Vincent Balog I, DPT
• Poonam Nina Banerjee, PHD

• Pediatric Dentistry in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.