Hyunso Park, DMD, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

HYUNSO PARK, DMD, PLLC

Practice address

14529 Memorial Dr Ste C
Houston, TX 77079-5428

Phone

(281) 730-8080

Fax

(281) 730-8082

NPI assigned

Mar 28, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Hyunso Park, DMDNPI 1144514373

Title

Owner

Phone

(678) 522-4042

Specialties & licenses 3

Addresses

Other names 1

• Memorial Children's Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hyunso Park, DMD

  • Pediatric Dentistry
  • Houston, TX
  • NPI 1144514373

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1265993448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14529 MEMORIAL DR STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795428",
            "telephone_number": "281-730-8080",
            "fax_number": "281-730-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14529 MEMORIAL DR STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795428",
            "telephone_number": "281-730-8080",
            "fax_number": "281-730-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUNSO PARK, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HYUNSO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-522-4042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Jannell Hysmith
• Shawn L Hysten-Williams, M.A., LPC
• Eric David Hyun, MD-PHD
• John Hyun, MD
• Young Hyun, DNP/FNP-C
• I & S Denning, Inc.
• I & S Healthcare Services, LLC
• I 45 Medical Clinic, LLC.
• I Am a Better Me LLC
• I Am Ready Counseling PLLC

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.