Organization Active NPI

Bakaen, Karmen J, DDS a Prof Corp.

  • Dental Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1962692012
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
46360 Issued in CA
Legal business name
BAKAEN, KARMEN J, DDS A PROF CORP.
Practice address
1710 E 17TH St Ste E
Santa Ana, CA 92705-8622
Phone
(714) 564-9000
Fax
(714) 564-9024
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Karmen BakaenNPI 1417015777
Title
President
Phone
(714) 564-9000

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
Dental Clinic/Center 261QD0000X 46360 CA Primary

Addresses

Primary practice location

1710 E 17TH St Ste E
Santa Ana, CA 92705-8622

Mailing address

1710 E 17TH St Ste E
Santa Ana, CA 92705-8622
Phone (714) 564-9000

Other identifiers 1

IdentifierTypeStateIssuer
B46360OtherCADENTICAL

National Provider Directory

National Provider Directory

Locations

1710 E 17th St
Ste E
Santa Ana, CA 92705
Phone (714) 564-9000

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1962692012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E 17TH ST STE E",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058622",
            "telephone_number": "714-564-9000",
            "fax_number": "714-564-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E 17TH ST STE E",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058622",
            "telephone_number": "714-564-9000",
            "fax_number": "714-564-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKAEN, KARMEN J, DDS A PROF CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "BAKAEN",
        "authorized_official_first_name": "KARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-564-9000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "46360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B46360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.