P Hyun Bae Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50034 Issued in CA

Legal business name

P HYUN BAE DENTAL CORPORATION

Doing business as

Dr. Bae's Dental Playground

Practice address

1637 E 103Rd St
Los Angeles, CA 90002-2923

Phone

(323) 563-3322

NPI assigned

Jan 24, 2018

Last updated

Jan 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Hyun Bae, DDSNPI 1982772240

Title

Owner/President

Phone

(310) 738-8020

Specialties & licenses 1

Addresses

Other names 1

• DR. BAE'S DENTAL PLAYGROUND Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Hyun Bae, DDS

  • General Practice Dentistry
  • Inglewood, CA
  • NPI 1982772240
  Authorized official Same address or phone

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1982102034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S IRVING BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900204725",
            "telephone_number": "310-738-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 E 103RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900022923",
            "telephone_number": "323-563-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P HYUN BAE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HYUN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-738-8020",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. BAE'S DENTAL PLAYGROUND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eda Ozsoy
• Caitlain C Ozturk, BII
• Amanda Ozuna, MSW
• Audrey Anika Ozuna
• P & M Healthcare Holdings (Angels Nursing Center)
• P Taherpour M.D.Inc
• P. M. G.
• P.B. Nikravesh DPM, Apc
• P.H. Bae Dental Corporation (Dr. Bae's Dental Playground)
• P.H. Bae, DDS,Inc. (Dr. Bae's Dental Playground)

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.