Han NA Park, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12013896A Issued in IN

Practice address

3209 Builder Dr Ste 130
Lafayette, IN 47909-4054

Phone

(765) 204-1676

NPI assigned

Aug 5, 2022

Last updated

Sep 10, 2026By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Han NA Park DDS PC

  • Dental Clinic/Center
  • West Lafayette, IN
  • NPI 1942110036
  NPD (past) Authorized official
• Highland Creek Family Dental - South LLC

  dba HIghland Creek Family Dental - South

  • General Practice Dentistry
  • Lafayette, IN
  • NPI 1245957950
  NPD
• Olive Branch Dental LLC

  dba Olive Branch Dental

  • General Practice Dentistry
  • Greenwood, IN
  • NPI 1053904409
  NPD (past)
• Shane T Cope LLC

  dba Highland Creek Family Dental

  • Dentist
  • Lafayette, IN
  • NPI 1750724613
  NPD (past)

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1083341390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W NAVAJO ST",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 BUILDER DR STE 130",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479094054",
            "telephone_number": "765-204-1676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4921 State Road 26 E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054616",
            "country_code": "US",
            "telephone_number": "765-807-0592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 W Navajo St",
            "address_purpose": "LOCATION",
            "city": "West Lafayette",
            "state": "IN",
            "postal_code": "479061966",
            "country_code": "US",
            "telephone_number": "765-607-0818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "HAN NA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013896A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbey Palomo
• Tanmay Panigrahi, MD
• Laci C Parcell, LCSW
• Mitul Parekh
• Sanjay Rajnikant Parikh, MD
• Lylan S. Park, MD
• Megan Parke, MS, CCC-SLP
• Brent Alan Parker, MD
• Emilie D Parker, CST
• Holly Parkison, RBT

• Dentist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.