Susanna Myrim Park, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12198 Issued in TX

Practice address

9601 Katy Fwy 430
Houston, TX 77024-1356

Phone

(713) 533-8786

Fax

(713) 574-2798

NPI assigned

Jan 9, 2013

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)

Enrolled

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.

• Ten13 Group, LLC

  • Preferred Provider Organization
  • Houston, TX
  • NPI 1386013803
  NPD (past) Authorized official

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1063759165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WESTHEIMER RD",
            "address_2": "UNIT 502",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633539",
            "telephone_number": "832-865-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 KATY FWY 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241356",
            "telephone_number": "713-533-8786",
            "fax_number": "713-574-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUSANNA",
        "middle_name": "MYRIM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Semyee Park, D.D.S
• Song Y. Park, NP-C
• Sung Hyun Park
• Sung-Hoon Park, MD
• Susan Park, D.D.S.
• Tom Park
• Umi Park
• Victoria Yujung Park
• Yangseon Park, M.D.
• Yoon Jung Park, F.N.P.

• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.