Active NPI
Joung Park, DMD
- Dentist
- Yardley, PA
National Provider Identifier
1043415201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS036672
- Practice address
- 301 Oxford Valley Rd Ste 201B
Yardley, PA 19067-7708 - Phone
- (215) 493-5347
- Fax
- (215) 493-1176
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS036672 | PA | Primary |
Addresses
Primary practice location
301 Oxford Valley Rd Ste 201B
Yardley, PA 19067-7708
Mailing address
403 Santa Anita Dr
North Wales, PA 19454-4291
Phone (215) 901-4934
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS036672 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1043415201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 SANTA ANITA DR",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194544291",
"telephone_number": "215-901-4934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 OXFORD VALLEY RD STE 201B",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190677708",
"telephone_number": "215-493-5347",
"fax_number": "215-493-1176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JOUNG",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS036672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yardley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.