Active NPI
Injea Park, DMD
- Dentist
- Hudson, MA
National Provider Identifier
1194216044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858620
- Practice address
- 234 Washington St
Hudson, MA 01749-3735 - Phone
- (978) 819-4034
- NPI assigned
- May 27, 2018
- Sex
- Male
- 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 | DN1858620 | MA | Primary |
Addresses
Primary practice location
234 Washington St
Hudson, MA 01749-3735
Mailing address
160 Washington St Unit 603
Rochester, NH 03839-5512
Phone (603) 923-4006
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858620 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1194216044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WASHINGTON ST UNIT 603",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038395512",
"telephone_number": "603-923-4006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 WASHINGTON ST",
"city": "HUDSON",
"state": "MA",
"postal_code": "017493735",
"telephone_number": "978-819-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "INJEA",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-27",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.