Myung-Hyun Bae, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011565 Issued in CT

Practice address

3741 Main St
Bridgeport, CT 06606-3609

Phone

(267) 939-0477

NPI assigned

Mar 3, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1902298649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JACKSON AVE",
            "address_2": "4F",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012702",
            "telephone_number": "267-939-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063609",
            "telephone_number": "267-939-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "MYUNG-HYUN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-03",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "011565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Back, PA-C
• Candra K Bacote, LMSW
• Mohamed Badawy, MD
• Lewis M Bader, MD
• Mohamed Badheeb
• Karoona Bai, MD
• Imran Baig, DO
• Allison Bailey, PA-C
• Tiffany Bailey
• Jessica Catherine Bainer, LMSW

• All providers in Bridgeport, CT
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.