James Park, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

060196 Issued in NY

Practice address

127 E Main St Ste 131
Middletown, NY 10940-5118

Phone

(845) 342-5866

NPI assigned

May 29, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1598293045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 L AMBIANCE CT",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109541400",
            "telephone_number": "646-704-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E MAIN ST STE 131",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405118",
            "telephone_number": "845-342-5866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Bert Crawford Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402138",
            "country_code": "US",
            "telephone_number": "845-343-2192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JAMES",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-29",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "060196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tejas Bharat Parikh, M.D.
• Amanda Melissa Parish, LMHC-D
• Marybeth Parisi, M.D.
• Vellore S Parithivel, MD
• Park Manor Acquisition II LLC
• John Sung Park, M.D.
• Joon Hong Park, MD
• Kim J Park, LMSW
• Maryann Park, M.D
• Victoria Renee Parker, RN

• Dentist in Middletown, NY
• Providers in Middletown, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.