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GEON BAE D.M.D
NPI 1811355456
Dentist - Pediatric Dentistry in Anchorage, AK

Active since February 09, 2016PECOS Enrolled
3340 PROVIDENCE DR STE 552, ANCHORAGE, AK 99508(907) 336-1234(907) 336-4321 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2021, May 28, 2019, Jun 27, 2016 and 1 more (4 updates tracked since 2016).

About Geon Bae D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEON BAE D.M.D (NPI 1811355456) is an individual pediatric dentistry provider in Anchorage, Alaska, licensed in Alaska (139529) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1811355456
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameGEON BAECredential: D.M.D
Location Address3340 PROVIDENCE DR STE 552Anchorage, AK 99508
Mailing Address3470 E Meridian Park LoopWasilla, AK 99654-7294 · (907) 373-8684 · Fax (907) 373-8465
Phone(907) 336-1234
Fax(907) 336-4321
Sole ProprietorNo
Enumeration DateFebruary 9, 2016
Last NPPES UpdateMay 17, 20214 updates tracked since enumeration
NPPES CertifiedMay 17, 2021
✔ NPI 1811355456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in AK · 139529
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 139529 (AK)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3340 PROVIDENCE DR STE 552, Anchorage, AK 99508
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11127 Wilshire Blvd, Ste. 1504Los Angeles, CA 90017-3901 · Phone (213) 201-1388
Location 24441 Diplomacy DrAnchorage, AK 99508-5910 · Phone (907) 729-2000
Location 33470 E Meridian Park LoopWasilla, AK 99654-7294 · Phone (907) 373-8684 · Fax (907) 373-8465

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Geon Bae D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACD1, LLC
Dentist (Pediatric Dentistry)
3340 PROVIDENCE DR STE 552
ANCHORAGE, AK 99508
Anchorage Municipality (907) 336-1234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geon Bae's NPI number?

The NPI number for Geon Bae is 1811355456. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Where is Geon Bae located?

Geon Bae practices at 3340 Providence Dr Ste 552, Anchorage, AK 99508. The listed phone number is (907) 336-1234.

What is Geon Bae's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Geon Bae enrolled in Medicare?

Yes. Geon Bae is registered in the Medicare PECOS enrollment system.

What insurance does Geon Bae accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 3 other insurers list Geon Bae as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Geon Bae was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.