Yeun-Joung Park, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1857065 Issued in MA

Practice address

100 Everett Ave Ste 5
Chelsea, MA 02150-2328

Phone

(617) 844-4444

NPI assigned

Oct 3, 2015

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1443830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443830400000",
    "number": "1295105245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 REPTON PL UNIT 1417",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EVERETT AVE STE 5",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502328",
            "telephone_number": "617-844-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "YEUN-JOUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-03",
        "last_updated": "2015-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1857065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lina Pabon Nau, MD
• Aida P Padron Costas, DMD
• Katherine Palencia
• Paragon Rehab
• Soo Ho Park, LMHC
• Amanda Parra
• Pardis Parsa
• Keshar Patel
• Mauni Patel
• Natasha Patel

• General Practice Dentistry in Chelsea, MA
• Providers in Chelsea, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2015; 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.