Gene J. Pak DDS Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

59385 Issued in CA

Legal business name

GENE J. PAK DDS CORPORATION

Practice address

28562 Oso Pkwy Ste K
Rancho Santa Margarita, CA 92688-5599

Phone

(949) 459-7212

NPI assigned

Jan 28, 2015

Last updated

Aug 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gene Pak, DDSNPI 1972824589

Title

President

Phone

(949) 459-7212

Specialties & licenses 5

Addresses

Other identifiers 4

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gene J Pak, DDS

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
  • NPI 1972824589
  NPD (past) Authorized official
• William Steven Gross, D.M.D.

  • General Practice Dentistry
  • Orange, CA
  • NPI 1538476395
  NPD (past)
• Michael A Tessier I

  • Dentist
  • Rancho Santa Margarita, CA
  • NPI 1295856060
  NPD (past)

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1477943546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28562 OSO PKWY STE K",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885599",
            "telephone_number": "949-459-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28562 OSO PKWY STE K",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885599",
            "telephone_number": "949-459-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE J. PAK DDS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-459-7212",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59385",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "27207",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53909",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57231",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1972824589",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 - NPI",
            "identifier": "1760796023",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 - NPI",
            "identifier": "1295856060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - TYPE 1",
            "identifier": "1235392317",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alberto Bie Gatus Jr., DPT
• Ekaterini Gatzios
• Sarah Gaylord
• Ronald D Gellis, PH.D.
• Sonomi Gen
• Gentry Chiropractic Inc (Chiro Care Therapy)
• Steven Gentry, D.C.
• Jack George, D.D.S.
• Shiva Genevieve Ghaed, PH.D.
• Mehrdad Ghaffarian, LAC., PHD.

• Dentist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.