NPIMap

Organization Active NPI

Peter Hyun Bae, DDS, Inc.

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1891003257
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50034 Issued in CA
Legal business name
PETER HYUN BAE, DDS, INC.
Practice address
1810 W Slauson Ave Ste J
Los Angeles, CA 90047-1133
Phone
(323) 294-8654
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Dr. Peter H Bae
Title
Owner/ President
Phone
(323) 294-8654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 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

Other names 1

  • Dr. Bae's Dental Playground Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1891003257",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER HYUN BAE, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "323-294-8654",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Bae's Dental Playground",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 20, 2010; 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.