Organization Active NPI

Eun Ju Paik DDS Inc

  • Dentist
  • Anaheim, CA
National Provider Identifier
1851846836
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55545 Issued in CA
Legal business name
EUN JU PAIK DDS INC
Practice address
3441 W Ball Rd Ste a
Anaheim, CA 92804-3767
Phone
(657) 337-5117
NPI assigned
Aug 19, 2016
Last updated
Aug 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Eun PaikNPI 1770702680
Title
President
Phone
(657) 337-5117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 55545 CA Primary

Addresses

Primary practice location

3441 W Ball Rd Ste a
Anaheim, CA 92804-3767

Mailing address

3441 W Ball Rd Ste a
Anaheim, CA 92804-3767
Phone (657) 337-5117

National Provider Directory

National Provider Directory

Locations

3441 W Ball Rd
Ste A
Anaheim, CA 92804
Phone (657) 337-5117

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1851846836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 W BALL RD STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043767",
            "telephone_number": "657-337-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 W BALL RD STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043767",
            "telephone_number": "657-337-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUN JU PAIK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "PAIK",
        "authorized_official_first_name": "EUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "657-337-5117"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.