D J Park PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

D J PARK PC

Doing business as

Aspen Dental

Practice address

490-19 South Broad Street
Meriden, CT 06450

Phone

(203) 237-1000

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Dong Jin Park, DDS

Title

DDS/Owner

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Other names 1

• Aspen Dental Doing business as

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1639557390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490-19 SOUTH BROAD STREET",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06450",
            "telephone_number": "203-237-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D J PARK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "JIN",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "315-454-6000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Elizabeth Curcio-Scoles, D.M.D.
• Gerard P Curran, M.D.
• Amy Lynn Cyr, PT
• Kristen Lyn Cyr, R.PH.
• Debra H. D Iorio, DPT
• Rachel D'Amora, BCABA
• Dailey Professional Counseling Services, LLC
• Emily Lisette Dalbora, MD
• Amritlal Manji Dalsania, MD
• Daniel & Max, LLC

• General Practice Dentistry in Meriden, CT
• Providers in Meriden, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.