Organization Active NPI

Kpark Endo PLLC

  • Endodontics
  • Austin, TX
National Provider Identifier
1417894411
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
KPARK ENDO PLLC
Practice address
6633 E Highway 290 Ste 206
Austin, TX 78723-1157
Phone
(512) 649-3340
NPI assigned
Apr 29, 2026
Last updated
Apr 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Kony ParkNPI 1730433830
Title
Owner
Phone
(512) 649-3340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

6633 E Highway 290 Ste 206
Austin, TX 78723-1157

Mailing address

6633 E Highway 290 Ste 206
Austin, TX 78723-1157

National Provider Directory

National Provider Directory

Locations

6633 E Highway 290
Ste 206
Austin, TX 78723
Phone (512) 451-1182

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1417894411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 E HIGHWAY 290 STE 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 E HIGHWAY 290 STE 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231157",
            "telephone_number": "512-649-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPARK ENDO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-649-3340"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.