NPIMap

Organization Active NPI

Jenny Yoo-Park, DMD, Ms, Inc

Doing business as Palo Alto Orthodontics

  • Dental Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1457759904
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
57875 Issued in CA
Legal business name
JENNY YOO-PARK, DMD, MS, INC
Doing business as
Palo Alto Orthodontics
Practice address
905 Middlefield Rd
Suite a
Palo Alto, CA 94301-3339
Phone
(650) 327-2310
NPI assigned
Dec 16, 2014
Last updated
Dec 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Dr. Jenny Yoo-DMD
Title
President
Phone
(650) 327-3210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 57875 CA Primary

Addresses

Primary practice location

905 Middlefield Rd
Suite a
Palo Alto, CA 94301-3339

Mailing address

905 Middlefield Rd
Suite a
Palo Alto, CA 94301-3339
Phone (650) 327-2310

Other names 1

  • Palo Alto Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

905 Middlefield Rd
#A
Palo Alto, CA 94301
Phone (650) 327-2310

Practitioners & affiliated clinicians

Practitioners 3

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": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1457759904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MIDDLEFIELD RD",
            "address_2": "SUITE A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943013339",
            "telephone_number": "650-327-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MIDDLEFIELD RD",
            "address_2": "SUITE A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943013339",
            "telephone_number": "650-327-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY YOO-PARK, DMD, MS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "YOO-DMD",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-327-3210",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "57875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palo Alto Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.