Sarah Saea Park, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN1858250 Issued in MA

Practice address

33 State Rd
Dartmouth, MA 02747-3319

Phone

(508) 784-7531

NPI assigned

Nov 14, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 22, 2015 through Dec 22, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sarah S. Park DDS P.C.

  • Pediatric Dentistry
  • Dartmouth, MA
  • NPI 1770280968
  NPD Authorized official
• DP Dental Care, PLLC

  • General Practice Dentistry
  • Jamaica, NY
  • NPI 1760964787
  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1285064048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473319",
            "telephone_number": "508-784-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473319",
            "telephone_number": "508-784-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SARAH",
        "middle_name": "SAEA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "057007-1",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1858250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle K Pacheco
• Christine Padilla, BCBA
• Dorota Pajak, MPT
• Julia Palumbo
• Cynthia M. Paradise, NP
• Ami Sanjiv Patel, PA-C
• Melinda Marie Patricio, ANP
• Patterson Therapy
• Eshan Anant Patvardhan, MD
• Hillary Elizabeth Pavao

• Pediatric Dentistry in Dartmouth, MA
• Providers in Dartmouth, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.