Romi Park, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015839 Issued in GA

Practice address

232 19TH St NW Ste 7200
Atlanta, GA 30363-1131

Phone

(404) 567-8900

NPI assigned

Jul 8, 2019

Sex

Female

Sole proprietor

Yes

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

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.

• North Decatur Dentistry, PC

  • General Practice Dentistry
  • Decatur, GA
  • NPI 1154868917
  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1023670320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 BURNSIDE DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185861",
            "telephone_number": "678-267-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 19TH ST NW STE 7200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303631131",
            "telephone_number": "404-567-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2570 Blackmon Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300336197",
            "country_code": "US",
            "telephone_number": "678-203-3462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "ROMI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jung Mi Park, M.D.
• Junghoon Park, MD
• Michael Park, D.O
• Michelle Caroline Park, MD
• Peter Ju Park, M.D.
• Sam Ok Park, OTR/L
• Sarah Park, MD
• Soojeong Kim Park, MS, RD, CDE
• Sora Park, MD
• Sunita Park, MD

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.