Soon Ho Park, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0181 Issued in MP

Practice address

PO Box 5027 CHRB
Saipan, MP 96950

Phone

(670) 588-8533

NPI assigned

Oct 11, 2019

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kaioken Incorporated

  • General Practice Dentistry
  • Chalan Laulau, MP
  • NPI 1619734100
  NPD

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1629610571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5027 CHRB",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "96950",
            "telephone_number": "670-588-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 5027 CHRB",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "96950",
            "telephone_number": "670-588-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SOON HO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-11",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MP",
            "license": "0181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan B Pangelinan, PA
• Lucy Pangelinan
• Paradise Dental Services, Inc.
• Jungsang Park
• Kyeongeun Park
• Theodore Robert Parker, R.PH., MPH
• PC Bargain Corporation
• Leona K. Peter, CSAC II, LAC II
• Crystal Ann Edmister Pierson, D.D.S.
• Kenneth David Pierson, D.D.S.

• General Practice Dentistry in Saipan, MP
• Providers in Saipan, MP by specialty
• General Practice Dentistry in Northern Mariana Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.