Philip K Paik

Primary specialty

DentistTaxonomy code 122300000X

License

36792 Issued in TX

Practice address

449 Dallas Abrams
Dallas, TX 75214

Phone

(469) 232-2300

NPI assigned

Nov 11, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Buckner Market Place Dental, P.a.

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1023166220
  NPD (past)

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1033711353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 VICTORY AVE APT 911",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752197916",
            "telephone_number": "310-365-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 DALLAS ABRAMS",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75214",
            "telephone_number": "469-232-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIK",
        "first_name": "PHILIP",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "36792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "philipkpaik@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2947 S Buckner Blvd Ste 100",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752276953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shicago Page, LPC
• Pauline Hendler Pagel, RN, MSN, FNP
• Joelle Pahl, LCSW
• Alicia Paiboon, OTR/CHT
• Aakash Paidesetty
• Nathan A. Pailes, M.D.
• Pain & Injury Solutions PLLC
• Pain and Rehab Associates, PLLC
• Pain Control Institute, Inc.
• Pain Diagnostics and Treatment Center P a

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.