Active NPI
Earl P Park, DMD MD
- Oral & Maxillofacial Surgery (D.M.D.)
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 35601
- Practice address
- 2000 6TH Ave S
Birmingham, AL 35233-2110 - Phone
- (205) 934-9999
- NPI assigned
- Jul 11, 2011
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | RESTRICTED | LA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 35601 | AL | Primary |
Addresses
Primary practice location
2000 6TH Ave S
Birmingham, AL 35233-2110
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Florida Ave
FL 2
New Orleans, LA 70119-2715
Phone (985) 889-9893
Hospital & facility affiliations
- Touro Infirmary
- University Medical Center New Orleans
- West Jefferson Medical Center
- East Jefferson General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.21 of 100
- Quality
- 81.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.94
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RESTRICTED | LA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Touro Infirmary | Past | Accepting new patients |
Locations
478 S Johnson St
New Orleans, LA 70112
Phone (504) 412-1000
1100 Florida Ave
Fl 2
New Orleans, LA 70119
Phone (504) 610-9314
1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
Organizations & group practices 4
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.
-
dba LSU Healthcare Network
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
dba Lsu Healthcare Network
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
-
dba LSU Healthcare Network
- Dentist
- New Orleans, LA
- NPI 1740534064
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Orleans, LA
- NPI 1588817878
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
-
dba University Medical Center New Orleans
- General Acute Care Hospital
- New Orleans, LA
- NPI 1568403111
-
dba West Jefferson Medical Center
- General Acute Care Hospital
- Marrero, LA
- NPI 1265437644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1558659698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55310",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555310",
"telephone_number": "205-731-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352332110",
"telephone_number": "205-934-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "EARL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DMD MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "LA",
"license": "RESTRICTED",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "AL",
"license": "35601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.