Gena Paek

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61676626 Issued in WA

Practice address

1416 Highlands Dr NE Ste 120
Issaquah, WA 98029-6240

Phone

(425) 557-9000

NPI assigned

Apr 18, 2024

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

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.

• Washington Dental Corporation, PC

  • General Practice Dentistry
  • Issaquah, WA
  • NPI 1962824243
  NPD (past)

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1487409108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 10TH AVE NE APT 325",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980297482",
            "telephone_number": "254-289-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 HIGHLANDS DR NE STE 120",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296240",
            "telephone_number": "425-557-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEK",
        "first_name": "GENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "61676626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annelise Amy Pace, MS
• Pacific Counseling and Research Center
• Pacific Northwest Behavioral Health Services, PLLC
• Pacmed Clinics
• Padmaraj V. Angolkar D.D.S., M.D.S.
• Jessica Pak Mortega
• Mallika Ponnappa Palecanda
• Gena Palm
• Brenda Lee Palmiotto, PT
• Alexander Lite Pan, MD

• General Practice Dentistry in Issaquah, WA
• Providers in Issaquah, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.