Jisook Frances Park, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

45307 Issued in CA

Practice address

2021 Ygnacio Valley Road
Suite B-4
Walnut Creek, CA 94598

Phone

(925) 977-8230

Fax

(929) 932-1150

NPI assigned

Jul 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• J Frances Park Professional name

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1396945762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 YGNACIO VALLEY ROAD",
            "address_2": "SUITE B-4",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-977-8230",
            "fax_number": "929-932-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 YGNACIO VALLEY ROAD",
            "address_2": "SUITE B-4",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-977-8230",
            "fax_number": "929-932-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JISOOK",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "PARK",
            "middle_name": "FRANCES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rebecca A. Parish, M.D.
• Byung Joon Park, D.C.
• Candice Park, BCBA
• Hyo Min Park
• Jina Park, MD
• Michael I. Park, MD
• Vivian Hanna Park, N.P.
• Yoon Kyul Park, PHARMD
• Grace Marion Parker-Guerrero, MA, AMFT
• Angel Kay Parker, M.D.

• Dentist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.