Morgan Park, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11301868-9922 Issued in UT

Practice address

223 S 700 E Ste 3
Salt Lake City, UT 84102-2174

Phone

(801) 355-6997

NPI assigned

Jun 24, 2019

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

Networks

• UT PPO D-SNP

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.

• Robert S Palmer DDS PC

  • Dental Clinic/Center
  • Salt Lake City, UT
  • NPI 1457606188
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1043871783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 S 700 E STE 3",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S 700 E STE 3",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022174",
            "telephone_number": "801-355-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MORGAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11301868-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Y. Park, MD
• Kyoungsook Leah Park, AGACNP-BC
• Madeline Park, DNP, APRN
• Marci Park, R.N.
• Minji Park, DNP, NP-C
• Sunho Park
• Tae Hwan Park, MD
• Tammy Kathryne Park, MD
• Tiffany Park, PA-C
• Meagan Parke

• General Practice Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.