NPIMap

Organization Active NPI

Hyunjung Holly Park, D.D.S., Inc.

  • Endodontics
  • Irvine, CA
National Provider Identifier
1609926849
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
54476 Issued in CA
Legal business name
HYUNJUNG HOLLY PARK, D.D.S., INC.
Practice address
331 Tall Oak
Irvine, CA 92603-0662
Phone
(714) 357-9333
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Dr. Holly H Park-Nah, D.D.S.
Title
Ceo Secretary Cfo
Phone
(714) 357-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 54476 CA Primary

Addresses

Primary practice location

331 Tall Oak
Irvine, CA 92603-0662

Mailing address

331 Tall Oak
Irvine, CA 92603
Phone (714) 357-9333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1609926849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 TALL OAK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92603",
            "telephone_number": "714-357-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 TALL OAK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926030662",
            "telephone_number": "714-357-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUNJUNG HOLLY PARK, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "PARK-NAH",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO SECRETARY CFO",
        "authorized_official_telephone_number": "714-357-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "54476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.