Jamie Y. Park, D.D.S., LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JAMIE Y. PARK, D.D.S., LTD

Practice address

8622 W Golf Rd
Niles, IL 60714-5600

Phone

(847) 299-5990

Fax

(847) 299-5998

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Y. Park, D.D.S.NPI 1073502035

Title

Doctor

Phone

(847) 299-5990

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Y Park, D.D.S

  • General Practice Dentistry
  • Niles, IL
  • NPI 1073502035
  NPD (past) Authorized official

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1437320553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145600",
            "telephone_number": "847-299-5990",
            "fax_number": "847-299-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8622 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145600",
            "telephone_number": "847-299-5990",
            "fax_number": "847-299-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE Y. PARK, D.D.S., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-299-5990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177023",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Parampottil Isaac, DDS
• Michelle Melissa Ishaya, DO
• Jibin Jacob, PHARM.D
• Mary Jacobson, O.D.
• Jalal Rais Dana MD LTD
• Jane Kim LCSW, LLC
• Katherine Janezic, NP
• Renata Maria Jankowska, NP
• Joanna Katherine Jaros, MD
• Jayron Home Care Inc.

• General Practice Dentistry in Niles, IL
• Providers in Niles, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.