Sun H. Park, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

047573 Issued in NY

Practice address

11316 76TH Rd
1F
Forest Hills, NY 11375-7236

Phone

(718) 575-9548

Fax

(718) 575-2969

NPI assigned

Aug 29, 2011

Last updated

Aug 29, 2011By the provider in NPPES

Sex

Female

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apple Dental Health Services PC

  • Dentist
  • Forest Hills, NY
  • NPI 1871765172
  NPD (past)

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1457632994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11316 76TH RD",
            "address_2": "1F",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757236",
            "telephone_number": "718-575-9548",
            "fax_number": "718-575-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11316 76TH RD",
            "address_2": "1F",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757236",
            "telephone_number": "718-575-9548",
            "fax_number": "718-575-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole Parente
• Elena Parhomchuk
• Park Avenue Sports Medicine & Rehabilitation PC
• Milee Park-Coleman, L.AC.
• Sangchan Park
• Yoon a Park, RN
• Parkway Anesthesia Associates, PLLC
• Parkway Medical Services, P.C.
• Parkway Pain Management, PLLC
• Parkway Radiology, PC

• Dentist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.