Misung Paik, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

45948 Issued in CA

Practice address

1816 Lomita Blvd
Lomita, CA 90717-1906

Phone

(310) 326-4117

Fax

(310) 326-0081

NPI assigned

Dec 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• Misung Paik DDS a Professional Corp

  • Dentist
  • Lomita, CA
  • NPI 1164812749
  NPD (past) Authorized official

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083782353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 LOMITA BLVD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171906",
            "telephone_number": "310-326-4117",
            "fax_number": "310-326-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 LOMITA BLVD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171906",
            "telephone_number": "310-326-4117",
            "fax_number": "310-326-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIK",
        "first_name": "MISUNG",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER",
            "identifier": "B45948",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demian Daniel Occampo
• Ohana Speech Therapy Inc.
• Omega Home Health Care Services, Inc.
• Valerie Oropeza
• Adrienne Paglinawan, M.S., BCBA
• Paula Parra
• Kalpan Patel, RPH
• Ellie Mary Pavlov Krause, OTR
• Leah Rose Penso, M.S.
• Personal Powered Birth

• Dentist in Lomita, CA
• Providers in Lomita, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.