AGELINA PAEK
NPI 1932512647
Dentist - Pediatric Dentistry in San Jose, CA

Q: What is Agelina Paek's NPI number?

The NPI number for Agelina Paek is 1932512647. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Q: What is Agelina Paek's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Agelina Paek was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 10, 2014PECOS Enrolled

6942 ALMADEN EXPY, SAN JOSE, CA 95120(408) 770-9383 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Agelina Paek NPPES

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

AGELINA PAEK (NPI 1932512647) is an individual pediatric dentistry provider in San Jose, California, licensed in California (100231) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932512647

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameAGELINA PAEK

Location Address6942 ALMADEN EXPYSan Jose, CA 95120-3201

Mailing Address8661 Ne 123rd PlKirkland, WA 98034-6030 · (425) 691-7289

Phone(408) 770-9383

Sole ProprietorNo

Enumeration DateJune 10, 2014

Last NPPES UpdateAugust 3, 2016

✔ NPI 1932512647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CA · 100231

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

6942 ALMADEN EXPY, San Jose, CA 95120

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agelina Paek is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KRISTEN LO DDS, MSD

Dentist (Orthodontics and Dentofacial Orthopedics)

6942 ALMADEN EXPY
SAN JOSE, CA 95120

Santa Clara County (408) 770-9383

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 Agelina Paek's NPI number?

The NPI number for Agelina Paek is 1932512647. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Agelina Paek located?

Agelina Paek practices at 6942 Almaden Expy, San Jose, CA 95120. The listed phone number is (408) 770-9383.

What is Agelina Paek's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Agelina Paek enrolled in Medicare?

Yes. Agelina Paek is registered in the Medicare PECOS enrollment system.

What insurance does Agelina Paek accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Agelina Paek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Agelina Paek was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.