Active NPI
Allison Sunghye Park, DMD
- General Practice Dentistry
- Flushing, NY
National Provider Identifier
1548541964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 055591
- Practice address
- 3708 Main St
Flushing, NY 11354-6537 - Phone
- (718) 886-7222
- NPI assigned
- Aug 30, 2011
- Last updated
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 055591 | NY | Primary |
Addresses
Primary practice location
3708 Main St
Flushing, NY 11354-6537
Mailing address
225 E 85TH St Apt 502
New York, NY 10028-3077
Phone (614) 946-2581
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1548541964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E 85TH ST APT 502",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100283077",
"telephone_number": "614-946-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113546537",
"telephone_number": "718-886-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "ALLISON",
"middle_name": "SUNGHYE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "055591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.