Active NPI
Paul Paik, DMD
- Dentist
- Las Vegas, NV
National Provider Identifier
1154008365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7819
- Practice address
- 7880 W Maule Ave Unit 1145
Las Vegas, NV 89113-5384 - Phone
- (213) 598-8862
- NPI assigned
- Jun 29, 2023
- Last updated
- Jun 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7819 | NV | Primary |
Addresses
Primary practice location
7880 W Maule Ave Unit 1145
Las Vegas, NV 89113-5384
Mailing address
7880 W Maule Ave Unit 1145
Las Vegas, NV 89113-5384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7819 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1154008365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7880 W MAULE AVE UNIT 1145",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891135384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7880 W MAULE AVE UNIT 1145",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891135384",
"telephone_number": "213-598-8862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIK",
"first_name": "PAUL",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-29",
"last_updated": "2023-06-29",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "7819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.