Active NPI
Ka Park DMD PLLC
- Dentist
- Dallas, TX
National Provider Identifier
1144003237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- KA PARK DMD PLLC
- Practice address
- 17610 Midway Rd Ste 110
Dallas, TX 75287-6741 - Phone
- (972) 735-8900
- NPI assigned
- Aug 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ka Park, DMD
- Title
- Owner/Dentist
- Phone
- (972) 735-8900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
17610 Midway Rd Ste 110
Dallas, TX 75287-6741
Mailing address
17610 Midway Rd Ste 110
Dallas, TX 75287-6741
Phone (972) 735-8900
Other names 1
- Parkway Dental Carrollton
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Little Elm, TX
- NPI 1205381076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691971200000",
"number": "1144003237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17610 MIDWAY RD STE 110",
"city": "DALLAS",
"state": "TX",
"postal_code": "752876741",
"telephone_number": "972-735-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17610 MIDWAY RD STE 110",
"city": "DALLAS",
"state": "TX",
"postal_code": "752876741",
"telephone_number": "972-735-8900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KA PARK DMD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "KA",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "972-735-8900",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Parkway Dental Carrollton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.