Dong-Rae Park, O.M.D., LIC. ACUPUNC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00184 Issued in TX

Practice address

11661 Preston Rd
Suite 170
Dallas, TX 75230-2745

Phone

(214) 691-3210

Fax

(214) 739-6262

NPI assigned

Dec 20, 2006

Sex

Male

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

Practice roles

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.

• Wholistic Herbs Inc.

  • Acupuncturist
  • Dallas, TX
  • NPI 1609010198
  NPD (past) Authorized official
• Acupuncture Center of Dallas Inc

  • Acupuncturist
  • Dallas, TX
  • NPI 1275883910
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1306900691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11661 PRESTON RD",
            "address_2": "SUITE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302745",
            "telephone_number": "214-691-3210",
            "fax_number": "214-739-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11661 PRESTON RD",
            "address_2": "SUITE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302745",
            "telephone_number": "214-691-3210",
            "fax_number": "214-739-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DONG-RAE",
        "name_prefix": "Dr.",
        "credential": "O.M.D., LIC. ACUPUNC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byung Ryang Park, MD
• Caroline Park, M.D.
• Charisse Park
• Dale Park, CERTPS
• DO Yeun Park
• Edward Sung Joon Park, PHARM.D.
• Elizabeth Park
• Eric K Park, MD
• Eugene Park, MD PHD
• Eunju Park, L.AC.

• Acupuncturist in Dallas, TX
• Providers in Dallas, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.