Active NPI
Jihye Park
- Dentist
- North Bethesda, MD
National Provider Identifier
1174361026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18369
- Practice address
- 11404 Old Georgetown Rd Ste 204
North Bethesda, MD 20852-2892 - Phone
- (301) 493-8333
- NPI assigned
- Jul 16, 2024
- Last updated
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18369 | MD | Primary |
Addresses
Primary practice location
11404 Old Georgetown Rd Ste 204
North Bethesda, MD 20852-2892
Mailing address
11404 Old Georgetown Rd Ste 204
North Bethesda, MD 20852-2892
Phone (301) 493-8333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1174361026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11404 OLD GEORGETOWN RD STE 204",
"city": "NORTH BETHESDA",
"state": "MD",
"postal_code": "208522892",
"telephone_number": "301-493-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11404 OLD GEORGETOWN RD STE 204",
"city": "NORTH BETHESDA",
"state": "MD",
"postal_code": "208522892",
"telephone_number": "301-493-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JIHYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Bethesda, MD
- North Bethesda Plastic Surgery LLC
- North Bethesda Primary Care
- Nutrihealth, LLC
- Yutaka Okamoto, D.D.S.
- Orthobiologics Research Initiative, Inc.
- Kashiben G Patel, MD
- Peach State Medical Practice, PC (Kindbody of MD Medical Practice)
- Brenda Lee Pellicane, M.D.
- Peony Womens Integrative Health LLC
- Lidya Daniella Perez Simon, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.