Joo Hee Park, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36145 Issued in TX

Practice address

2312 Western Trails Blvd Ste A104
Austin, TX 78745-1677

Phone

(512) 326-2066

NPI assigned

May 26, 2020

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dan Alineum - Grand Prairie PLLC

  • General Practice Dentistry
  • Grand Prairie, TX
  • NPI 1407463771
  NPD (past)
• Karn Kritsanachaiwanich PA

  • Dentist
  • Austin, TX
  • NPI 1326391095
  NPD (past)

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1194348086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 WESTERN TRAILS BLVD STE A104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451677",
            "telephone_number": "512-326-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 WESTERN TRAILS BLVD STE A104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451677",
            "telephone_number": "512-326-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOO HEE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaina Sun Park, MA, BCBA, LBA
• Hayan Park, PHARMD
• Irene Park
• Ivan Young Park, APRN
• Jenny M. Park, L.P.T.
• Kino Park
• Kristen Park, MD
• Morgan Estelle Park, MA, LPC
• Nungcool Park, CRNA
• Peter Park, MD

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.