Kristopher D Paik, D.M.D. M.S

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

17440 Issued in MD

Practice address

1 Bank St Ste 240
Gaithersburg, MD 20878-1554

Phone

(301) 948-9800

NPI assigned

Mar 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpaik101321@direct.umm.edu

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.

• Integrative Oral & Facial Surgery, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Gaithersburg, MD
  • NPI 1205150935
  NPD
• Ridgewood Oral Surgery Center LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Glen Rock, NJ
  • NPI 1659944601
  NPD (past)

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1083030225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BANK ST STE 240",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781554",
            "telephone_number": "301-948-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BANK ST STE 240",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781554",
            "telephone_number": "301-948-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIK",
        "first_name": "KRISTOPHER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D. M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-12",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02704000",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "17440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ortiz Rios, M.D., M.P.H.
• Sarah Elizabeth Osborn, LMSW
• Natalie Osoria, LCSW
• Osteopathic Physicians of the Potomac
• Mecca Page
• Pain, Spine & Rehab Associates, LLC
• Joseph Hamilton Thompson Paine II
• Emily Pak
• Melissa Palacios
• Brionna Palmer

• Oral and Maxillofacial Surgery (Dentist) in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.