Organization Active NPI

Susan Bae, DDS, Ms, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cerritos, CA
National Provider Identifier
1780179176
Registry record updated Jul 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
100794 Issued in CA
Legal business name
SUSAN BAE, DDS, MS, INC.
Practice address
10945 South St Ste 202a
Cerritos, CA 90703-5366
Phone
(424) 256-3967
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2025

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

Authorized official

Name
Dr. Susan BaeNPI 1427543800
Title
Ceo
Phone
(424) 256-3967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 100794 CA Primary

Addresses

Primary practice location

10945 South St Ste 202a
Cerritos, CA 90703-5366

Mailing address

325 N Larchmont Blvd Ste 127
Los Angeles, CA 90004-3011

Other names 1

  • Bae Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

10945 South St
Ste 202
Cerritos, CA 90703

10945 South St
Ste 202A
Cerritos, CA 90703
Phone (424) 256-3967

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752364800000",
    "number": "1780179176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N LARCHMONT BLVD STE 127",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 SOUTH ST STE 202A",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035366",
            "telephone_number": "424-256-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN BAE, DDS, MS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-256-3967",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "100794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bae Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2025; 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.