Hee Jin Park, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10837 Issued in NC

Practice address

3607 Davis Dr Ste 209
Morrisville, NC 27560-6005

Phone

(919) 469-2122

NPI assigned

Jan 15, 2018

Sex

Female

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Cameron & Associates of Cary Park, PLLC

  • General Practice Dentistry
  • Cary, NC
  • NPI 1750788683
  NPD (past)
• Dr. Cameron & Associates of Fuquay, PLLC

  • General Practice Dentistry
  • Fuquay Varina, NC
  • NPI 1790055044
  NPD (past)
• DRS Abdelbaky Boes Cameron & Associates of Morrisville PLLC

  • General Practice Dentistry
  • Morrisville, NC
  • NPI 1518107820
  NPD (past)

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023526837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 ROSEPINE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196692",
            "telephone_number": "919-740-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 DAVIS DR STE 209",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606005",
            "telephone_number": "919-469-2122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 N Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fuquay Varina",
            "state": "NC",
            "postal_code": "275265399",
            "country_code": "US",
            "telephone_number": "919-557-7799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7535 Carpenter Fire Station Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275198617",
            "country_code": "US",
            "telephone_number": "919-468-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "HEE",
        "middle_name": "JIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Palazzo, DC
• Tarra Palyok, PHARMD, MBA
• Satya Sai Siva Tejaa Panibatla
• Paper Moon Counseling
• Trupti Parekh
• Kendall Taylor Parsons, PT, DPT
• Beena N Patel, DO
• Bejal Patel
• Hasita J Patel, DDS
• Himanshu Janakkumar Patel, D.M.D

• General Practice Dentistry in Morrisville, NC
• Providers in Morrisville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.