Dr James Park DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR JAMES PARK DMD PC

Practice address

113 Lowell St
Peabody, MA 01960-4257

Phone

(978) 278-1760

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Dr. James Park, DMD

Title

President

Phone

(201) 414-3360

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1497515456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LOWELL ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604257",
            "telephone_number": "978-278-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LOWELL ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604257",
            "telephone_number": "978-278-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAMES PARK DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-414-3360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark H Dougherty, M.D.
• Kimberly Dowling, PA-C
• Cara Elizabeth Downey
• Isabella Downs-Torres
• Regan Maureen Doyle
• Dr. Inhwan Hong, PC
• Dr. Paul V. Hamel
• Dr. Shahram Navid D.M.D., PC
• Timothy S Draper Jr., D.O.
• Evelyn Marie Dreyer, ARNP

• General Practice Dentistry in Peabody, MA
• Providers in Peabody, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.