DR. EDWARD PAUL WICOREK DDS
NPI 1457492399
Dentist in Los Alamitos, CA

Q: What is Edward Wicorek's NPI number?

The NPI number for Edward Wicorek is 1457492399. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is Edward Wicorek's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Edward Wicorek enrolled in Medicare?

No. Edward Wicorek has opted out of Medicare through December 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Edward Wicorek was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 12, 2007Opted out of Medicare · through Dec 20, 2027

3551 FARQUHAR AVE STE 101, LOS ALAMITOS, CA 90720(562) 493-3705(562) 493-1572 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Edward Paul Wicorek Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD PAUL WICOREK DDS (NPI 1457492399) is an individual dentist in Los Alamitos, California, licensed in California (26563) and active in the NPI registry since February 2007. He has opted out of Medicare through December 20, 2027.

NPPES Registry Identity

NPI1457492399

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. EDWARD PAUL WICOREKCredential: DDS

Location Address3551 FARQUHAR AVE STE 101Los Alamitos, CA 90720-2003

Mailing Address3551 Farquhar Ave Ste 101Los Alamitos, CA 90720-2003 · (562) 493-3705 · Fax (562) 493-1572

Phone(562) 493-3705

Fax(562) 493-1572

Sole ProprietorYes

Enumeration DateFebruary 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1457492399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 26563

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3551 FARQUHAR AVE STE 101, Los Alamitos, CA 90720

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Edward Paul Wicorek Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 20, 2021 through December 20, 2027.

Opt-Out Effective DateDecember 20, 2021

Opt-Out In Effect ThroughDecember 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Wicorek's NPI number?

The NPI number for Edward Wicorek is 1457492399. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Edward Wicorek located?

Edward Wicorek practices at 3551 Farquhar Ave Ste 101, Los Alamitos, CA 90720. The listed phone number is (562) 493-3705.

What is Edward Wicorek's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Edward Wicorek enrolled in Medicare?

No. Edward Wicorek has opted out of Medicare through December 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Edward Wicorek was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.