Individual provider Active NPI

Hojun Park, OMD

  • Acupuncturist
  • Duluth, GA
National Provider Identifier
1013380641
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
327 Issued in GA
Practice address
3631 Peachtree Industrial Blvd Ste 106
Duluth, GA 30096-4851
Phone
(404) 935-2200
NPI assigned
Nov 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 327 GA Primary

Addresses

Primary practice location

3631 Peachtree Industrial Blvd Ste 106
Duluth, GA 30096-4851

Mailing address

3631 Peachtree Industrial Blvd Ste 106
Duluth, GA 30096-4851
Phone (404) 935-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
327GAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Parks Acupuncture & Herbs LLC Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1013380641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 PEACHTREE INDUSTRIAL BLVD STE 106",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964851",
            "telephone_number": "404-935-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 PEACHTREE INDUSTRIAL BLVD STE 106",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964851",
            "telephone_number": "404-935-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HOJUN",
        "name_prefix": "Mr.",
        "credential": "OMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.