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Jessica Yoon Kyung Pack, DDS

NPI 1013365881ActiveIndividual· Dentist, Pediatric Dentistry· Los Angeles, CA

Dentist, Pediatric Dentistry (DDS) in Los Angeles, California, licensed in CA, with an NPI issued in June 2016. Enrolled in Medicare as order and referring only - dentist. Colgate Oral Pharmaceuticals, Inc. reported $17.48 in payments in 2025, mostly education. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.

Overview

NPI1013365881
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorYes
NPI issuedJun 2, 2016
Last updated in NPPESJun 2, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Pediatric Dentistry Primary1223P0221XDDS100104CA

About license numbers in NPPES

Exclusion screening

Possible match: verify before acting. The OIG list has a record with the same name in California, but that record carries no NPI, so it may be a different person or business.

Matched byName on OIG listExclusion typeExcluded sinceLocation
Name + stateJessica Ann Pack · Assisted Living Faci1128a2Mar 20, 2023Oroville, CA
ListResultDetails
HHS-OIG LEIE · Nov 10, 2026Possible (name)See above
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Dentist (CA)

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$17.48 · 1 payment from 1 company
  • 2024$183.98 · 2 payments from 1 company

Top paying companies in 2025

CompanyAmountPayments
Colgate Oral Pharmaceuticals, Inc.$17.481

What the 2025 payments were for

  • Education$17.48 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other pediatric dentists in Los Angeles

All 138 pediatric dentists in Los Angeles · All pediatric dentists in California