James Park, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123428 Issued in GA

Practice address

1175 Peachtree St NE Ste 1210
Atlanta, GA 30361-3544

Phone

(404) 874-6464

NPI assigned

Jun 6, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• CS Dental Associates, P.C.

  dba Colony Square Dental Associates

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1639769201
  NPD
• Foundation Dental Partners Georgia, P.C.

  • General Practice Dentistry
  • Woodstock, GA
  • NPI 1780221457
  NPD (past)
• Bushnell Family and Cosmetic Dentistry PLLC

  • General Practice Dentistry
  • Bushnell, FL
  • NPI 1700710803
  NPD (past)
• Joseph Brent Novak, DMD,PA

  dba Bushnell Family & Cosmetic Dentistry

  • General Practice Dentistry
  • Bushnell, FL
  • NPI 1841447190
  NPD (past)
• Winter Springs Family Dentistry PLLC

  • Dental Clinic/Center
  • Winter Springs, FL
  • NPI 1205626710
  NPD (past)

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1245689728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 PEACHTREE ST NE STE 1210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303613544",
            "telephone_number": "404-874-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 PEACHTREE ST NE STE 1210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303613544",
            "telephone_number": "404-874-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21873",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chong Yop Park, RPH
• David D. Park, M.D.
• Eunhye Park
• Hailey Kyung Yeon Park, DDS
• Jae Yeon Park, DMD
• Jasmine Jungmin Park, D.O.
• Jeanie Park, M.D.
• Jin Park, M.D.
• Jina Park
• Jonathan Park, PHARMD

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.