Jinwoo Park, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33584 Issued in TX

Practice address

6820 S Interstate 35 E Ste 135
Corinth, TX 76210-7401

Phone

(940) 800-8809

NPI assigned

Oct 16, 2017

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

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.

• Hi Value Dental

  • Dental Clinic/Center
  • Corinth, TX
  • NPI 1861225880
  NPD Authorized official
• Abc Family Dental Basswood PLLC

  • General Practice Dentistry
  • Haltom City, TX
  • NPI 1003234238
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1336650472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 SHOREHAM CIR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565592",
            "telephone_number": "415-470-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 S INTERSTATE 35 E STE 135",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762107401",
            "telephone_number": "940-800-8809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5190 Western Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Haltom City",
            "state": "TX",
            "postal_code": "761372144",
            "country_code": "US",
            "telephone_number": "817-656-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JINWOO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Doroftei MD PA
• Edna Orona, M.S., LPC
• Jacquelyn Michelle Page
• Amy Wristen Pape, PHD, LMFT
• Deanna Renee Parise-Kelley, MS, CCC-SLP
• Joan Elizabeth Parker, P.T.
• Marissa D Parker, ,MSED, ATC, LAT
• Vidhi Patel, M.D.
• Lesia Zan Paup, BSN RN
• Rachel Renee Pavlov, LPC, LCDC

• General Practice Dentistry in Corinth, TX
• Providers in Corinth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.