David Park, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61085629 Issued in WA

Practice address

810 3Rd Ave Ste 200
Seattle, WA 98104-1614

Phone

(296) 554-7755

Fax

(206) 554-7754

NPI assigned

Sep 27, 2020

Last updated

Sep 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Steve Y Park DDS PLLC

  dba 3rd & Columbia Dental

  • Dental Clinic/Center
  • Seattle, WA
  • NPI 1942961768
  NPD Authorized official

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

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1013524743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 3RD AVE STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041614",
            "telephone_number": "296-554-7755",
            "fax_number": "206-554-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 3RD AVE STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041614",
            "telephone_number": "296-554-7755",
            "fax_number": "206-554-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-27",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61085629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chankue Park, MD
• Christine Park, MD
• Christine Jungwon Park, D.D.S.
• Christopher Jin-Su Park, LMHC
• Clara Esther Park, PHARMD
• Dong Won Park, LMHCA
• Dorothy Inne Park, CRNA, RN
• Edmund Park, M.DIV
• Ellen Miyoung Park
• Esther Park

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; 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.