Individual provider Active NPI

Hui Byung Park, DDS

  • Dentist
  • Flushing, NY
National Provider Identifier
1285616417
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0333141 Issued in NY
Practice address
13678 39TH Ave
Ste 206
Flushing, NY 11354-5515
Phone
(718) 939-1144
Fax
(718) 939-4929
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0333141 NY Primary

Addresses

Primary practice location

13678 39TH Ave
Ste 206
Flushing, NY 11354-5515

Mailing address

13678 39TH Ave
Ste 206
Flushing, NY 11354-5515
Phone (718) 939-1144

Other identifiers 1

IdentifierTypeStateIssuer
00288862MedicaidNY

Other names 1

  • Richard Byung Park Professional name

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

LicenseStateTypeSpecialty
0333141NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285616417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13678 39TH AVE",
            "address_2": "STE 206",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545515",
            "telephone_number": "718-939-1144",
            "fax_number": "718-939-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13678 39TH AVE",
            "address_2": "STE 206",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545515",
            "telephone_number": "718-939-1144",
            "fax_number": "718-939-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HUI",
        "middle_name": "BYUNG",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0333141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00288862",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "PARK",
            "middle_name": "BYUNG",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.