Jun Park, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48978 Issued in CA

Practice address

4141 State St
Suite C-2 Dental
Santa Barbara, CA 93110-1814

Phone

(805) 696-1002

NPI assigned

Feb 10, 2007

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

Interoperability endpoints

• Direct secure messaging: jun.park.p1@direct.aihs.nextgenshare.com

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1063553022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 STATE ST",
            "address_2": "SUITE C-2 DENTAL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 STATE ST",
            "address_2": "SUITE C-2 DENTAL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101814",
            "telephone_number": "805-696-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Pardee
• Melony B. Parent, MD
• Joseph Murray Paris
• Christian Park
• Grace E Park, M.D.
• Madeline Park
• Ronald V Park II, MA
• Erica Maya Parker
• Julia C Parker, PA
• Kathleen Parker, AUD

• General Practice Dentistry in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.