Jae H. Kwak, D.M.D.
NPI 1033668355ActiveIndividual· Dentist, Pediatric Dentistry· Tustin, CA
Dentist, Pediatric Dentistry (D.M.D.) in Tustin, California, licensed in CA and TX, with an NPI issued in September 2016. Elevate Oral Care reported $15.15 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1033668355 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D. |
| Sole proprietor | No |
| NPI issued | Sep 28, 2016 |
| Last updated in NPPES | Mar 2, 2023 |
| Certified by provider | Mar 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 102524 | CA |
| Dentist | 122300000X | 32379 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2024$15.15 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Elevate Oral Care | $15.15 | 1 |
What the 2024 payments were for
- Food and Beverage$15.15 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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