Individual provider Active NPI

Bumjoon Park, DDS

  • Dentist
  • Forest Hill, MD
National Provider Identifier
1467291054
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18407 Issued in MD
Practice address
1920 Rock Spring Rd Ste 200
Forest Hill, MD 21050-9810
Phone
(410) 879-4444
NPI assigned
May 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18407 MD Primary

Addresses

Primary practice location

1920 Rock Spring Rd Ste 200
Forest Hill, MD 21050-9810

Mailing address

1920 Rock Spring Rd Ste 200
Forest Hill, MD 21050-9810
Phone (410) 879-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18407MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bel Air Dental Health Associates Dentist CurrentSince Nov 8, 2025 Accepting new patients

Locations

1920 Rock Spring Rd
Ste 200
Forest Hill, MD 21050
Phone (410) 879-4444

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1467291054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 ROCK SPRING RD STE 200",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210509810",
            "telephone_number": "410-879-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 ROCK SPRING RD STE 200",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210509810",
            "telephone_number": "410-879-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "BUMJOON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "18407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.