Yong J. Park DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00011037 Issued in WA

Legal business name

YONG J. PARK DDS, INC.

Practice address

7315 NE 141St St
Kirkland, WA 98034-9739

Phone

(425) 636-8700

Fax

(425) 896-8456

NPI assigned

Dec 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Yong Park, D.D.S.

Title

President

Phone

(425) 636-8700

Specialties & licenses 1

Addresses

Other names 1

• LAKE WASHINGTON DENTAL Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alaleh Moazami, DMD

  • General Practice Dentistry
  • Kirkland, WA
  • NPI 1386892859
  NPD (past)

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1689919458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 NE 141ST ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980349739",
            "telephone_number": "425-636-8700",
            "fax_number": "425-896-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 NE 141ST ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980349739",
            "telephone_number": "425-636-8700",
            "fax_number": "425-896-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONG J. PARK DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-636-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00011037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE WASHINGTON DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connie U Yeung, DO
• Rosanna Hoi Lam Yeung, M.D.
• Anthoney Yinn
• Yasin Yizu, RN
• Yolo Massage Clinic
• Kaci Emiko Yoshimura
• Esther Yost
• Andrew Young, DDS
• Charissa Young, O.D.
• Felix J Young, DPT

• Dental Clinic/Center in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.