Individual provider Active NPI

Jong Hoon Park, D.M.D

  • General Practice Dentistry
  • Lincoln, RI
National Provider Identifier
1174903660
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856894 Issued in MA
Practice address
885 Smithfield Ave
Lincoln, RI 02865-3508
Phone
(401) 723-7020
NPI assigned
Jun 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN03363 RI
General Practice Dentistry 1223G0001X DN1856894 MA Primary

Addresses

Primary practice location

885 Smithfield Ave
Lincoln, RI 02865-3508

Mailing address

40 Nouvelle Way Unit N147
Natick, MA 01760-1599
Phone (714) 757-2525

Other practice location 1

175 Harris Ave
Woonsocket, RI 02895-1810
Phone (401) 762-0070

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

State licenses

LicenseStateTypeSpecialty
DEN03363RIMDDentist
DN1856894MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Smile Woonsocket LLC CurrentSince Sep 29, 2024 Accepting new patients
Happy Smile, LLC Current Accepting new patients

Locations

885 Smithfield Ave
Lincoln, RI 02865
Phone (401) 723-4443

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1174903660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 NOUVELLE WAY UNIT N147",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601599",
            "telephone_number": "714-757-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 SMITHFIELD AVE",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028653508",
            "telephone_number": "401-723-7020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Harris Ave",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028951810",
            "country_code": "US",
            "telephone_number": "401-762-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JONG HOON",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN03363",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.