Jamie Y Park, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

8622 W Golf Rd
Niles, IL 60714-5600

Phone

(847) 299-5990

Fax

(847) 299-5998

NPI assigned

Oct 20, 2005

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

Practice roles

Locations

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.

• Discount Smile Group, Inc

  • Dental Clinic/Center
  • Niles, IL
  • NPI 1184206039
  NPD Authorized official
• Jamie Y. Park, D.D.S., LTD

  • General Practice Dentistry
  • Niles, IL
  • NPI 1437320553
  NPD (past) Authorized official

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073502035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145600",
            "telephone_number": "847-299-5990",
            "fax_number": "847-299-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8622 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145600",
            "telephone_number": "847-299-5990",
            "fax_number": "847-299-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JAMIE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riddhi Panchal
• Paperclip Health
• Park Ridge C C School Dist 64
• Chang Park, D.C.
• Chanseul Park
• Paul Park, MD
• Zoon H Park, PHARMD
• Alla Pasman, O.D.
• Jharna Ashwin Pastagia, DPT
• Amit Patel, PHARMD

• General Practice Dentistry in Niles, IL
• Providers in Niles, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.