Active NPI
Dong Park, DC
- Chiropractor
- Cedar Hill, TX
National Provider Identifier
1356938013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14579
- Practice address
- 950 E Belt Line Rd
Cedar Hill, TX 75104-2422 - Phone
- (469) 575-6662
- NPI assigned
- Dec 29, 2020
- Last updated
- Dec 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14579 | TX | Primary |
Addresses
Primary practice location
950 E Belt Line Rd
Cedar Hill, TX 75104-2422
Mailing address
7130 Comal Dr
Irving, TX 75039-3317
Phone (214) 843-3861
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14579 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1356938013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7130 COMAL DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750393317",
"telephone_number": "214-843-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E BELT LINE RD",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042422",
"telephone_number": "469-575-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "DONG",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-29",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.