NPIMap

Organization Active NPI

Peter H. Bae DDS. Dental Corporation

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1881866234
Registry record updated Jun 14, 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
1810 W Slauson Ave Ste J
Los Angeles, CA 90047-1133
Phone
(323) 294-8654
Fax
(323) 294-8695
NPI assigned
Mar 26, 2008
Last updated
Jun 14, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PETER H. BAE DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 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
(323) 294-8654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50034 CA Primary

Addresses

Primary practice location

1810 W Slauson Ave Ste J
Los Angeles, CA 90047-1133

Mailing address

1810 W Slauson Ave Ste J
Los Angeles, CA 90047-1133
Phone (323) 294-8654

National Provider Directory

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

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213401600000",
    "number": "1881866234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 W SLAUSON AVE STE J",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900471133",
            "telephone_number": "323-294-8654",
            "fax_number": "323-294-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 W SLAUSON AVE STE J",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900471133",
            "telephone_number": "323-294-8654",
            "fax_number": "323-294-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER H. BAE DDS. DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PETER H. BAE DENTAL CORPORATION",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-06-14",
        "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": "323-294-8654",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.