Anna Park, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DT-2948 Issued in HI

Practice address

344 Heard Ave BLDG 556
Schofield Barracks, HI 96857

Phone

(808) 438-5555

NPI assigned

Dec 13, 2021

Last updated

Oct 13, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1023777562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 HEARD AVE BLDG 556",
            "city": "SCHOFIELD BARRACKS",
            "state": "HI",
            "postal_code": "96857",
            "telephone_number": "808-438-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 HEARD AVE BLDG 556",
            "city": "SCHOFIELD BARRACKS",
            "state": "HI",
            "postal_code": "96857",
            "telephone_number": "808-438-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-2948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstin Michelle Low, D.D.S.
• Kyle Jarvis McAtee, MD
• Jennifer L McCann, DPT
• Autumn June McKillip, FNP
• Michael T Oleary, PA-C
• Thomas Anthony Pepe, DMD
• Pamela Grace Peros, LCSW, QCSW
• Cherie Peterson, PHARM.D.
• Benjamin Floyd Platt, D.O.
• James Roland Pronath, LCSW

• Dentist in Schofield Barracks, HI
• Providers in Schofield Barracks, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.