Bak Dental Group Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

BAK DENTAL GROUP INC

Practice address

18740 Ventura Blvd Ste 305B
Tarzana, CA 91356-3366

Phone

(818) 705-3232

NPI assigned

Mar 7, 2024

Organization subpart

No

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

Authorized official

Name

Neema BakNPI 1710386974

Title

President

Phone

(213) 362-8076

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neema Bak, DDS, MS, PHD

  • Periodontics
  • Tarzana, CA
  • NPI 1710386974
  NPD Authorized official

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1750149514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 305B",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 305B",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563366",
            "telephone_number": "818-705-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAK DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "NEEMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-362-8076"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Badreau
• Jacqueline Nicole Baeza
• Gohar Baghumyan
• Elizabeth Bailey, RN, LMFT
• Raymond Paul Bailey, MD
• Neema Bak, DDS, MS, PHD
• Ioannnis Bakaes
• Matthew Jerrod Baker
• Frederic Bakhchi, MD
• Bakhshalian Dental Corporation

• Periodontics in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.